Granuloma piógeno en tapones lagrimales smart plug

espanolCaso clinico: Mujer de 65 anos, diagnosticada de ojo seco, acude por aparicion de tumoracion en canto interno con sensacion de cuerpo extrano. Tres anos antes se le habian implantado tapones lagrimales SmartPlug en ambos puntos lagrimales inferiores. Se aprecio un granuloma en el punto lagrimal inferior izquierdo que se extirpo. Dos semanas despues presento una recidiva lo que obligo a extraer el implante quedandose desde entonces asintomatica. Discusion: Estamos ante un granuloma piogeno en un implante punctal SMART PLUG, complicacion descrita clasicamente con los implantes de silicona, debido posiblemente a la irritacion cronica de los detritus acumulados. Esta complicacion obliga a extraer los tapones. EnglishCase report: We report the case of a 65-year-old woman with dry eye syndrome who was referred because of a red mass in the internal left canthus. Three years previously two Smart Plugs had been introduced into both lacrimal punctums of that eye. We diagnosed a pyogenic granuloma and removed it. Two weeks later a new granuloma developed so both the granuloma and the punctal plug were removed. The patient became asymptomatic following this latter procedure. Discussion: A pyogenic granuloma in a Smart Plug punctum is described. This rare complication is generally associated with the use of silicone punctal plugs, being possibly caused by the chronic irritation of the accumulated detritus and necessitating removal of the plug.