Incision-Sparing Management of Canaliculitis

Buttanrı, İbrahim Bülent; Serin, Didem; Akbaba, Müslime; Karslıoğlu, Şafak

doi:10.3109/01676830.2014.907812

Cited by 13 publications

(4 citation statements)

References 10 publications

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“…The efficacy of incision-sparing modalities are also supported by multiple studies. [28][29][30] However, these findings differ from those of other authors who were in favor of surgical treatment which failed to manually evacuate canalicular contents and antibiotic syringing. [31][32][33] As the formation of dacryolith will increase the virulence of Actinomyces and make them more resistant to topical antibiotics, it is crucial to clear granular debris buried deep in the canaliculus.…”

Section: Discussioncontrasting

confidence: 75%

Actinomycotic primary canaliculitis: Predisposing factors, clinical characteristics, and treatment outcomes

Ding

Zhang

Feng

et al. 2023

European Journal of Ophthalmology

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Objective Ocular actinomycosis is an uncommon progressive infection. The study aims to investigate the predisposing factors, clinical characteristics and treatment outcomes of culture-proven cases of Actinomycotic primary canaliculitis. Methods Single-center, retrospective, interventional case series. Culture-proven cases of Actinomyces-associated primary canaliculitis diagnosed and treated between January 2017 and December 2021 at the Beijing Tongren Eye Center, Capital Medical University were identified and reviewed for ocular and systemic risk factors, clinical presentations, microbiological profile, treatment modalities and outcomes. Results Of the 201 patients diagnosed with primary canaliculitis, 22 (10.9%) were caused by Actinomyces. The mean age at onset of 22 patients (21 women and one men) was 54 years. The lower canaliculus was most commonly involved (54.6%). The most frequent symptom was mattering without epiphora (77.3%) and clinical signs were punctal regurgitation of purulent discharge (100%) and expressible concretions (95.5%). Dry eye co-existed in 77.3% of patients, whereas no obvious systemic factors were found. Among 19 cases (86.0%) of identified Actinomyces species, A. odontolyticus (43.5%) was the predominant causative microorganism. There were 50% of patients with polymicrobial infection and the most common additional bacteria isolated were Streptococcus species. Conservative therapy combining repeated canalicular expression and irrigation with susceptible topical antibiotics achieved complete resolution in 86.4% of patients. Conclusions Dry eye was identified in the vast majority of patients with Actinomycotic canaliculitis. Most cases are odontogenic in origin and the infection occurs in immunocompetent individuals. The conservative method combining canalicular expression and irrigation with topical susceptible antibiotics is recommendable as initial therapy.

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Section: Discussioncontrasting

confidence: 75%

Actinomycotic primary canaliculitis: Predisposing factors, clinical characteristics, and treatment outcomes

Ding

Zhang

Feng

et al. 2023

European Journal of Ophthalmology

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“…Due to the risks associated with punctoplasty and canaliculotomy, there has been a recent focus on punctum-sparing surgeries. Buttanri et al 20 performed punctum dilation and removed the dacryoliths by applying pressure along the canaliculus from immediately distal to the common canaliculus to the punctum using forceps or a cotton-tipped applicator. Then they completely cleared the canaliculus using a chalazion curette and irrigated with an antibiotic solution.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Canaliculitis: A Case Report

Yusufoğlu¹,

Kobat²

2019

tjo

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Canaliculitis is a rare disease that relapses when not properly diagnosed and treated. It usually occurs in middle-age and advanced age. It is extremely rare in children and infants. A healthy 12-year-old girl presented with lower eyelid swelling and watery discharge in her right eye. During the last 2 years, the patient had been examined several times for the same complaints but there was no improvement despite treatment. Examination showed that the lower punctum had a pouting punctum appearance, and applying pressure to the lacrimal sac area resulted in purulent discharge. Lavage showed that the lacrimal passage was patent. In light of these clinical findings, the patient was diagnosed with canaliculitis. Punctoplasty with surgical curettage of the dacryoliths were performed. After the surgical procedure, a topical antibiotic was prescribed. Histopathological examination of the dacryoliths revealed that the infective cause was Actinomyces . No recurrence or complications were observed during 12 months follow-up.

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“…It usually involves the lower canaliculi and is often unilateral, with a female predominance. [2,3,4] Despite the fact that the underlying cause is not clear, it has been postulated that the presence of a diverticulum or any obstruction of the lacrimal system may predispose to developing canaliculitis as a result of stasis and accumulation of bacteria. [5,6]…”

Section: Introductionmentioning

confidence: 99%

Application of lacrimal endoscopy in the diagnosis and treatment of primary canaliculitis

Zheng

Shen²,

Luo³

et al. 2019

Medicine

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To investigate the efficacy of lacrimal endoscopy in the diagnosis and treatment of primary canaliculitis.This is a retrospective, interventional study. Fifteen patients diagnosed as primary canaliculitis were investigated, who underwent surgery with lacrimal endoscopy from January 2015 to December 2017 at Zhejiang Provincial People's Hospital. Patients were subsequently followed post-operatively for at least 6 months. Pre- and post-operative main measurement included ocular surface symptoms, signs of canaliculitis, intraoperative images, treatment response and complications.Twelve patients (12 eyes) were enrolled. Endoscopy was successful in revealing the residual concretion and pathological change of lacrimal duct. With its unique direct vision and micro drill, all concretions got removed and lacrimal ducts got patent. On postoperative month 6, all of the patients got cured with no signs of redness, swelling of the punctum and eyelid, epiphora with discharge and pain. None serious complications such as false canalicular passage were observed.Lacrimal endoscopy is indispensable in diagnosis, treatment and follows up of primary canaliculitis. With less iatrogenic injury, higher resolution rate and direct observation of canalicular mucosa, lacrimal endoscopy should be widely applied in the management of lacrimal diseases.

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Incision-Sparing Management of Canaliculitis

Abstract: Our incision-sparing technique is effective in the treatment of canaliculitis. We suggest that minimally invasive or incision-sparing techniques be attempted before canaliculotomy to decrease postoperative complications rates.

Cited by 13 publications

References 10 publications

Actinomycotic primary canaliculitis: Predisposing factors, clinical characteristics, and treatment outcomes

Actinomycotic primary canaliculitis: Predisposing factors, clinical characteristics, and treatment outcomes

Pediatric Canaliculitis: A Case Report

Application of lacrimal endoscopy in the diagnosis and treatment of primary canaliculitis

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