스마트 눈물점마개 삽입 후 발생한 눈물소관염의 임상양상과 치료

• 영문명: Canaliculitis Associated With SmartPlugM Punctal Plug Insertion: Clinical Features and Management
• 발행기관: 대한안과학회
• 저자명: 이민정 이경욱 김남주 정호경 곽상인,Min Joung Lee, MD,, Kyeong Wook Lee, MD,, Nam Ju Kim, MD,, Ho-Kyung Choung, MD,, Sang In Khwarg, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number6, 821~825쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.06.15

영문 초록

Purpose: To report the clinical features and treatment of canaliculitis associated with SmartPlug punctal plug insertion. Methods: Case selection criteria included patients with canaliculitis, who were managed at Seoul National University Hospital from January 2006 to October 2008, presenting with a history of punctal plug insertion. The operation reports were reviewed to identify patients in whom SmartPlug was discovered during the operation. Six patients (8 eyes) were identified, and a retrospective chart review was performed for all the patients. Results: The mean age of the patients was 34.3±8.6 years, and there were 1 men and 5 women. Common symptoms were mucous discharge (6 eyes) and conjunctival injection (2 eyes). The mean time from insertion of the plug to onset of symptoms was 27.0±27.0 months (range 4 to 77 months). All patients underwent surgical removal of the punctal plug by one-snip punctoplasty, canalicular retrograde compression using 2 cotton-tipped applications (2 eyes), or canalicular curettage (6 eyes). All patients had resolution of symptoms after the procedure. Conclusions: Canaliculitis should be considered when there is conjunctival discharge or injection in patients with SmartPlug. One-snip punctoplasty and retrograde compression of canaliculus can be attempted preferentially as a minimally-invasive treatment option.

키워드

Canaliculitis, Complication, Punctal plug, SmartPlug