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  • Title: Pyogenic granuloma: a rare complication of silicone punctal plugs.
    Author: Akova YA, Demirhan B, Cakmakçi S, Aydin P.
    Journal: Ophthalmic Surg Lasers; 1999; 30(7):584-5. PubMed ID: 10929986.
    Abstract:
    To describe pyogenic granuloma formation associated with silicone punctal plugs. A 65-year-old woman with severe dry eye was treated with silicone punctal plugs in both upper and lower puncta. After 14 months of success with the plugs, the patient presented with a fleshy ampullary lesion overlying the plugged superior punctum of her right eye. It was clinically diagnosed as a pyogenic granuloma, and the silicone plug was removed. Since the lesion persisted for 1 month, it was surgically removed. Histopathologic examination confirmed the diagnosis of pyogenic granuloma. A new plug was inserted and tolerated well. The routine use of silicone plugs are recommended as long as patients are informed of possible rare complications.
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