Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Klein-Theyer, A; Boldin, I; Rabensteiner, DF; Aminfar, H; Horwath-Winter, J.
Prevalence of canaliculitis after smartplug insertion during long-term follow-up.
Br J Ophthalmol. 2015; 99(8):1134-1136
Doi: 10.1136/bjophthalmol-2014-306290
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Klein-Theyer Angelika Karin
- Co-Autor*innen der Med Uni Graz
- Aminfar Haleh
- Boldin Ingrid
- Horwath-Winter Jutta
- Rabensteiner Dieter Franz
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- Abstract:
- To evaluate the long-term prevalence of canaliculitis associated with the use of SmartPlugs. This retrospective study included 42 eyes of 25 dry eye patients at our institution who received a SmartPlug insertion between 2004 and 2008. Irrigation of the lacrimal system was performed in all patients prior to SmartPlug insertion to ensure the patency of the system. The median follow-up time was 7.9 (5.6-10.5) years after plug insertion. Six patients (seven eyes) of 25 patients (42 eyes) developed canaliculitis. The prevalence of canaliculitis per patient was 24%, and the prevalence of canaliculitis per SmartPlug was 16.6%. The median time from SmartPlug insertion to the onset of canaliculitis was 4.7 (1.4-6.0) years. The median age of the affected patients was 61.5 (36-74) years. Five of these patients were women and one was man. The pathogens were identified as Actinomyces in four eyes and as Staphylococcus aureus in three eyes. In five patients (six eyes), the canaliculitis was resolved by the application of topical antibiotics and repeated lacrimal irrigations with antibiotics and povidone-iodine. In one patient, a canaliculotomy was necessary to cure the condition. The late onset of complications after SmartPlug insertion requires long-term observation to identify the majority of complications associated with SmartPlugs. In our patients with a follow-up of up to 10.5 years, the use of SmartPlugs was associated with the highest prevalence of canaliculitis published thus far. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
- Find related publications in this database (using NLM MeSH Indexing)
- Actinomycosis - epidemiology
- Actinomycosis - microbiology
- Adult -
- Aged -
- Canaliculitis -
- Corneal Ulcer - epidemiology
- Corneal Ulcer - microbiology
- Dacryocystitis - epidemiology
- Dacryocystitis - microbiology
- Dry Eye Syndromes - therapy
- Eye Infections, Bacterial - epidemiology
- Eye Infections, Bacterial - microbiology
- Female -
- Follow-Up Studies -
- Humans -
- Lacrimal Apparatus -
- Male -
- Middle Aged -
- Postoperative Complications -
- Prevalence -
- Prosthesis Implantation - adverse effects
- Retrospective Studies -
- Staphylococcal Infections - epidemiology
- Staphylococcal Infections - microbiology