Lacrimal canaliculitis

Fulmer, Nicole L; Neal, Jeffrey G.; Bussard, Gordon M; Edlich, Richard F.

doi:10.1016/s0735-6757(99)90093-1

Cited by 24 publications

(26 citation statements)

References 4 publications

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“…Laboratory culture diagnosis of this disease can be difficult and secondary infection commonly confuses the picture [2,7,12]. Actinomyces is the most common associated cause of canaliculitis, although several different organisms have been shown to cause the disease [2,5,7,11,12]. Concretions of lacrimal canaliculus were first recognized by Von Graefe 1854.…”

Section: Introductionmentioning

confidence: 99%

“…The lacrimal drainage system is the most common site of this infection in the ocular adnexae, although it has been also described as causing keratitis, orbital cellulites, endophthalmitis and orbital implant infection [7,9,13,16,18]. The classic features of Actinomyces canaliculitis are a mucopurulent punctal discharge, epiphora, inflammation of the medial canthus, canalicular swelling, and a red pouting punctum [5]. We found only two reports from the past 25 years [2,7] discussing the features of a series of Actinomyces canaliculitis cases, although some case reports have been published [5,15].…”

Section: Introductionmentioning

confidence: 99%

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Actinomyces canaliculitis: diagnosis of a masquerading disease

Briscoe

Edelstein

Zacharopoulos

et al. 2004

Graefe's Arch Clin Exp Ophthalmol

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Actinomyces canaliculitis presents with epiphora, chronic purulent conjunctivitis, a palpably thickened canaliculus, and yellow punctual discharge. In suspect cases canuliculotomy and curettage should be performed, although canalicular reconstruction is generally unnecessary. Culture of discharge and concretions using PD Plus/F blood culture medium gave improved results over accepted norms. Fixation of smeared concretions on a slide in alcohol is simple and is diagnostic of the disease. We recommend long-term systemic penicillin treatment in Actinomyces canaliculitis.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Actinomyces canaliculitis: diagnosis of a masquerading disease

Briscoe

Edelstein

Zacharopoulos

et al. 2004

Graefe's Arch Clin Exp Ophthalmol

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“…Simultaneous infections by virus, Chlamydia and aerobic and anaerobic bacteria are well known from the literature [4, 8, 9, 10, 11]. Viscoelastic substances should not be used if chronic canaliculitis is suspected to spread into the lower compartments of the lacrimal system.…”

Section: Discussionmentioning

confidence: 99%

Clinical Diagnosis of Chronic Canaliculitis by 20-MHz Ultrasound

Tost¹,

Bruder²,

Clemens³

2000

Ophthalmologica

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The practical value of high-resolution ultrasound (transducer frequency of 20 MHz) in the study of the lacrimal canaliculi has been proven. It can also be used in the clinical diagnosis of chronic canaliculitis. If the classic symptoms are absent, the clinical diagnosis is often inaccurate, and treatment is insufficient. Representative images of normal cases and of chronic canaliculitis illustrate the potential of high-resolution ultrasound. In our patient, 20-MHz scanner images revealed pathological findings which were invisible during slitlamp examination. Ultrasonic images of chronic canaliculitis showed ectasia of the canaliculus and sulfur grains. High-resolution ultrasonic examination of the lacrimal drainage system demonstrated that the 20-MHz scanner used was able to show concrements (sulfur grains), measuring 1–2 mm in diameter. Such more reflective structures (like sulfur grains) are a pathognomonic sign of chronic canaliculitis. Our report confirms the efficiency of 20-MHz sonography in the diagnosis of canaliculitis without any side effects.

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“…2,3 It is often misdiagnosed 4 leading to a delay in diagnosis. 5 Canaliculitis is generally a unilateral condition.…”

Section: Introductionmentioning

confidence: 99%

“…5 Symptoms associated with primary and secondary canaliculitis include epiphora, conjunctivitis, eyelid matting, a swollen, pouting punctum, or purulent discharge. 4,6,7 Other findings include sulfur granules or canaliculiths extruded from the punctum via massage or discovered during canaliculotomy. 6,8 Additional findings with cases of secondary canaliculitis include an inflammatory mass projecting from the punctum or intermittent blood-stained tears.…”

Section: Introductionmentioning

confidence: 99%