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Atypical mycobacterial keratitis and canaliculitis in a patient with an indwelling SmartPLUG™
  1. Robert S Feder,
  2. Rumya R Rao,
  3. Gary S Lissner,
  4. Paul J Bryar,
  5. Mary Szatkowski
  1. Northwestern University, Department of Ophthalmology, Chicago, Illinois, USA
  1. Correspondence to Dr Robert S Feder, 645 N. Michigan Ave, Suite 440, Chicago, IL 60611, USA; r-feder{at}northwestern.edu

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Canaliculitis and acute dacrocystitis have both been reported as complications of SmartPLUG™ (Medennium Inc., Irvine, California) insertion.1 2 We describe a case of concurrent Mycobacterium chelonae keratitis and canaliculitis in a patient with a SmartPLUG in the upper lid of the same eye.

A 76-year-old woman with an indwelling canalicular plug developed progressive peripheral ulcerative keratitis of the left eye. During treatment for the keratitis she developed left upper lid canaliculitis (figure 1). Culture of corneal scrapings was positive for Mycobacteria chelonae. Material expressed from the left upper canaliculus was cultured and grew the same organism. Sensitivity evaluation revealed …

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