Clinical features and surgical outcomes of primary canaliculitis with concretions

Xiang, Shengjin; Lin, Bingcheng; Pan, Qintuo; Zheng, Meiqin; Qin, Xiaoyi; Wang, Youpei; Zhang, Zongduan

doi:10.1097/md.0000000000006188

Cited by 18 publications

(20 citation statements)

References 21 publications

(57 reference statements)

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“…We found a higher prevalence of lower canaliculus involvement (55%), similar to other studies 2, 4, 8. Watering and discharge from the eye were the most commonly reported complaints by other studies 2, 4, 8, 9, 11, 12, 13. Eighty five percent of our patients presented with chief complaints of watering followed by redness and discharge.…”

Section: Discussionsupporting

confidence: 90%

“…We did not notice any significant difference between the demographic profiles of the two groups. Xiang et al found a higher incidence of concretions amongst females and mean age of presentation of patient with concretions (54.2 years) was similar to that seen in our group of patients with concretions (53.67 years) 9 . However, we did observe an association of Actinomyces with the presence of concretions ( p = 0.002).We also observed a slightly longer duration of symptoms in the group without concretions.…”

Section: Discussionsupporting

confidence: 89%

“…The discharge or concretions from all (100%) patients were sent for microbiological evaluation and all (100%) samples were culture positive as documented by Varma et al and Mohan et al13, 17 Xiang et al found Actinomyces, to be the causative organism for canaliculitis with concretions only in 3 (23.1%) cases on microbiological examination as compared to our concretion group i.e. 13 of 20 cases (65%) 9 . This variation could be attributed to different culture methods and media 9, 15, 18.…”

Section: Discussionsupporting

confidence: 49%

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Outcomes of canaliculotomy in recalcitrant canaliculitis

Alam

Poonam

Mukherjee

2019

Saudi Journal of Ophthalmology

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PurposeTo evaluate outcomes of canaliculotomy in cases of recalcitrant canaliculitis.MethodsAll cases diagnosed with canaliculitis who subsequently underwent canaliculotomy over a 15 year period were included in the study. We reviewed and analyzed demographic data, clinical presentation, microbiological profile and management outcomes.ResultsOut of 40 patients, 21 (52.5%) were males. Age range was 17–89 years. Lower canaliculus was affected most commonly (53.81%). Mean duration of symptoms was 8 months (range- 0.5–60 months, median 6 months). The most common presenting symptom was watering (34, 85%) while pouting puncta (32, 80%) was the most frequently documented clinical sign. Concretions were seen in 20 (50%) patients and Actinomyces was the most commonly isolated micro organism in the concretion group. Polymicrobial growth was seen in 18 (45%) patients. Commonly isolated bacteria on culture were Staphylococcus epidermidis (16, 40%) followed by Actinomyces (14, 34%) and Corynebacterium species (5, 12.5%). Complete resolution was seen in 39 cases post-operatively (97.5%, p = 0.0002). Mean follow up period was 21 months (range- 3–180 months).Recurrence was noted in 6(15%) cases, of which 4 were males (66.67%, p = 0.069) Four (66.67%, p = 0.069) patients had associated diabetes and 5 (83.33%, p = 0.046) had associated concretions. Six (15%) patients complained of persistent epiphora.ConclusionCanaliculotomy is a safe and effective method for management of recalcitrant canaliculitis with a success rate of 85%. Presence of concretions was associated with higher risk of recurrence in our study.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 49%

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Outcomes of canaliculotomy in recalcitrant canaliculitis

Alam

Poonam

Mukherjee

2019

Saudi Journal of Ophthalmology

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“…Lin et al [7] reported a 21% (7 out of 34) recurrence rate after canaliculotomy with a mean follow-up time of 24 months. Xiang et al [13] also reported their rate of 2.8% (1 out of 36) with 21.7 months follow-up. Our technique appeared to be a decent approach for primary canaliculitis with canalicular dilatation to eliminate the risk of recurrence.…”

Section: Discussionmentioning

confidence: 88%

“…After surgery, patients were prescribed with topical levofloxacin drops 4 times per day for 3 weeks. The type and dosage of antibiotics might be adjusted according to the results from microbiologic culture and drug sensitivity test [9,12,13]. The silicone stent was removed 6 to 8 months later.…”

Section: Methodsmentioning

confidence: 99%

Surgical procedure of canaliculoplasty in the treatment of primary canaliculitis associated with canalicular dilatation

Zhang

et al. 2020

BMC Ophthalmol

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Background: Primary canaliculitis is a chronic infection of the proximal lacrimal pathway. We aimed to evaluate surgical outcomes of a canaliculoplasty procedure for primary canaliculitis associated with canalicular dilatation. Methods: This study enrolled 42 primary canaliculitis patients with canalicular dilatation who underwent canaliculoplasty. All patients were treated with canaliculotomy, curettage of canalicular contents and canaliculoplasty with stent placement. Patients' demographics, clinical features, and follow-up outcomes were evaluated. Results: There were 12 males and 30 females with a mean age of 66.1 ± 13.9 years. The mean duration time from the first onset of signs/symptoms to diagnosis was 30.6 ± 39.5 months. Epiphora (90.5%) and mucopurulent discharge from punctum (85.7%) were the most common signs. Thirty-three out of 42 patients (78.6%) achieved complete remission with a mean follow-up time of 25.3 ± 12.9 months. There were 3 patients found to have canalicular stenosis due to obstruction after surgery. Conclusion: Canalicular dilatation is a severe condition of primary canaliculitis, probably due to a combined result of long standing disease and the presence of concretions. The surgical procedure of canaliculoplasty can be a highly effective treatment for primary canaliculitis associated with canalicular dilatation.

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

Luo

2021

J of Ultrasound Medicine

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Lacrimal canaliculitis (LC) is a rare infection of lacrimal passage, which is usually late diagnosed or misdiagnosed. Traditional lacrimal system tests barely provide a clear and definite understanding of the pathological changes in lacrimal passage. We presented three patients with asymptomatic and atypical symptoms who were misdiagnosed and were eventually diagnosed with chronic LC with assistance of 80‐MHz ultrasound biomicroscopy (80‐MHz UBM) and lacrimal endoscopy. To our knowledge, the mutual assistance of above two techniques diagnosing LC has never been reported, it can provide better images and observations of the canaliculus from the inside out and can guide the differential diagnosis.

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Clinical features and surgical outcomes of primary canaliculitis with concretions

Abstract: Supplemental Digital Content is available in the text

Cited by 18 publications

References 21 publications

Outcomes of canaliculotomy in recalcitrant canaliculitis

Outcomes of canaliculotomy in recalcitrant canaliculitis

Surgical procedure of canaliculoplasty in the treatment of primary canaliculitis associated with canalicular dilatation

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

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