Incision-sparing management of canaliculitis: an efficacious alternative to surgical management

Law, David Zhiwei; Goh, E-Shawn

doi:10.1016/j.jcjo.2016.10.013

Cited by 10 publications

(7 citation statements)

References 19 publications

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“…In our cohort, one patient underwent previous treatment of laser dacryoplasty and another patient presented a remaining knot of a former silicon intubation after dacryocystorhinostomy. No punctum plugs were found, as described by Law et al [11].…”

Section: Lacrimal Outflow Obstruction 2 B 2 Ementioning

confidence: 51%

Long-term Follow-up of Canaliculotomies after Canaliculitis

Stucki

Demolli

Kniestedt

et al. 2018

Klin Monatsbl Augenheilkd

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Section: Lacrimal Outflow Obstruction 2 B 2 Ementioning

confidence: 51%

Long-term Follow-up of Canaliculotomies after Canaliculitis

Stucki

Demolli

Kniestedt

et al. 2018

Klin Monatsbl Augenheilkd

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“…In our study, the incidence of canaliculitis showed a female predominance which was consistent with previous studies. [10,17] The female predominance may be due to use of cosmetics which can occlude the lacrimal duct. In addition, menopausal hormone changes may decrease tear production and reduce protection against infections.…”

Section: Discussionmentioning

confidence: 99%

“…[5,6] A high recurrence rate from 33-92% of conservative therapy has been found in the previous researches. [7][8][9][10] Surgery is considered a more e cient treatment to canaliculitis. [8,10] Surgical treatment usually contains canaliculotomy and punctoplasty which were reported as effective ways to treat canaliculitis.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10] Surgery is considered a more e cient treatment to canaliculitis. [8,10] Surgical treatment usually contains canaliculotomy and punctoplasty which were reported as effective ways to treat canaliculitis. [11,12] Lacrimal duct curettage plays a key role in the treatment, because it can not only clear concretions, but also change the anaerobic environment.…”

Section: Introductionmentioning

confidence: 99%

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Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

Shen¹,

Qin²,

Li³

et al. 2021

Preprint

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Purpose: This study aims to describe the characteristics of canaliculitis patients and compare the operative outcomes between punctum-sparing canaliculotomy and traditional punctum-incised canaliculotomy.Methods: The medical records of 58 patients who were diagnosed with canaliculitis were reviewed from March 1, 2010, to December 31, 2020. The demographic characteristics, symptoms, time to disease onset, location of involvement, operation information, and prognosis were recorded and analyzed.Results: Canaliculitis showed a female (67%) predominance. Epiphora with discharge was the most common symptom which happened in 56 (97%) patients. The recurrence rates of the punctum-incised group and the punctum-sparing group were 5% and 9% respectively, and there was no significant difference between the two groups. (p=0.514)Conclusion: The recurrence rate of the punctum-sparing group showed no significant difference with punctum-incised group. Patients with recurrence finally recovered after multiple treatments. Squeezing by tweezers was a good way to locate the infected lacrimal duct. Punctum-incised surgery can be the first-line therapy for canaliculitis.

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“…A recent report has indicated that conservative, incision-sparing treatment had an 83.3% successful treatment rate and low recurrence rates [19] ; however, surgical management is still considered the definitive treatment for canaliculitis. [1,5,11,12]…”

Section: Discussionmentioning

confidence: 99%

A case report on complete cure of recurrent primary canaliculitis by 4-snip punctoplasty and canalicular curettage

Kim

Ra²

2018

Medicine

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Rationale:For the treatment of primary canaliculitis, 1,2,3-snip punctoplasty and canalicular curettage are commonly used; however, a recurrence rate of 6.6% to 22% has been reported. Herein, we describe a case of recurrent primary canaliculitis that was completely cured by 4-snip punctoplasty and canalicular curettage.Patient concerns:A 53-year-old woman was admitted to our hospital with chief complaints of epiphora, discharge, eyelid flare up, and swelling near the inferior lacrimal punctum in the left eye, which initially presented 6 months earlier.Diagnosis:Based on the aforementioned symptoms, the patient was initially diagnosed with bacterial conjunctivitis at a local ophthalmologic clinic and used antibiotic eye drops for 6 months. However, her symptoms did not improve and they worsened at 2 weeks prior to admission. She was subsequently diagnosed with chronic dacryocystitis and referred to our hospital for surgical treatment. Slit lamp examination results showed conjunctival congestion in the inner corner of the left eye, along with eyelid flare up, swelling near the inferior lacrimal punctum, and yellowish discharge and concretion from the lacrimal punctal orifice. Furthermore, punctal regurgitation was not observed in the lacrimal sac compression test. Thus, the patient was diagnosed with primary canaliculitis on the basis of her clinical symptoms and laboratory findings.Interventions:Based on the diagnosis of primary canaliculitis, 1-snip punctoplasty and canalicular curettage were performed, and the patient was prescribed oral antibiotics for 2 weeks together with topical antibiotics for 4 weeks. Overall, the patient's symptoms improved after surgery, but epiphora and yellowish discharge from the lacrimal punctal orifice developed again 2 months after surgery during outpatient follow-up. Based on the diagnosis of recurrent primary canaliculitis, 4-snip punctoplasty and canalicular curettage were performed, and the patient was prescribed oral antibiotics for 2 weeks together with topical antibiotics for 4 weeks.Outcomes:Over a 6-month follow-up period, the symptoms disappeared completely and no other findings were observed.Lessons:Four-snip punctoplasty and canalicular curettage are simple clinical procedures that can minimize the recurrence rate of primary canaliculitis. Hence, 4-snip punctoplasty and canalicular curettage should be considered as the 1st-line treatment for primary canaliculitis and recurrent cases.

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Incision-sparing management of canaliculitis: an efficacious alternative to surgical management

Cited by 10 publications

References 19 publications

Long-term Follow-up of Canaliculotomies after Canaliculitis

Long-term Follow-up of Canaliculotomies after Canaliculitis

Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

A case report on complete cure of recurrent primary canaliculitis by 4-snip punctoplasty and canalicular curettage

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