Chronic lacrimal canaliculitis - the answer to a three-year history of red eye

Abstract

Chronic lacrimal canaliculitis is a rare infection of the lacrimal system, and can lead to misdiagnosis due to its overlapping presentation to other common entities. The authors report a case of lacrimal canaliculitis with a three-year history of recurrent unilateral red eye and mucopurulent discharge. Here, we describe the clinical course, surgical details, and microbial analysis of canaliculitis infection.

Utility of 80‐MHz Ultrasound Biomicroscopy and Lacrimal Endoscopy in Chronic Lacrimal Canaliculitis

“…The classic symptoms include epiphora, medial canthal swelling, local eyelid erythema, nonresolving or recurrent conjunctivitis, and swollen and pouting puncta, with or without yellowish or mucopurulent discharge 3,8 . The above demonstrations often mislead ophthalmologists and result in misdiagnoses, such as chronic conjunctivitis, 4,5 chalazion, chronic dacryocystitis, 2,6,7 and mucoceles 9 . Delays in proper diagnosis and incorrect treatment can lead to further symptoms, even blindness.…”

“…It accounts for approximately 1.4–2% of all lacrimal diseases and is prevalent among women as a result of hormonal changes 2,3 . The manifestations of LC commonly overlap with those of other diseases that occur around the lacrimal apparatus; thus, many cases are late diagnosed or misdiagnosed as chronic conjunctivitis, 4,5 chalazion, or chronic dacryocystitis, 2,6,7 causing insufficient or even incorrect treatment. Furthermore, traditional lacrimal system patency tests are not only invasive but also barely provide a clear and definite understanding of the pathological changes in the lacrimal passage, causing difficulties in terms of the differential diagnosis.…”

Streptococcus constellatus-Induced Blindness in a 10-Year-Old Boy: A Case Report

“…1 S. constellatus has been reported to cause liver abscesses, pneumonia, sepsis, and arthritis. In rare cases, this bacterium causes eye infection [2][3][4][5] and brain abscesses. 6 S. constellatus is sensitive to most antibiotics, especially to penicillin and its derivatives.…”