Long-term Follow-up of Canaliculotomies after Canaliculitis

Stucki, Vera C.; Demolli, Pashija; Kniestedt, Christoph; Frimmel, Sonja

doi:10.1055/s-0043-122672

Cited by 7 publications

(9 citation statements)

References 16 publications

(41 reference statements)

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“…Canaliculotomy allows better access to the canaliculus and more thorough curettage of canalicular contents. Canalicular curettage after canaliculotomy carries a high remission rate and is one of the options for primary canaliculitis [7,9,10,12,30]. However, in patients with canalicular dilatation, canaliculotomy alone may not be sufficient because it fails to reconstruct the anatomical structure of canaliculus.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical procedures are well known in the literature [9][10][11]. In brief, following local anesthesia, a canaliculotomy incision was made through conjunctival approach parallel to the dilated horizontal canaliculus, and curettage was performed to evacuate concretions inside the canaliculus.…”

Section: Methodsmentioning

confidence: 99%

“…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%

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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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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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

Zhang

et al. 2020

BMC Ophthalmol

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“…Canaliculotomy and punctoplasty enable better removal of canalicular content and generally heal without complications. 2,7,13,18 However, complications such as narrowing of the canaliculus, lacrimal pump dysfunction, and lacrimal fistulae may occur in rare cases and lead to epiphora in the long term. Kim et al 19 reported epiphora in 8.7% of the patients they treated with three-snip punctoplasty and curettage and followed for a mean of 11 months.…”

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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“…A. Salam и соавторы также описали случай, когда проходимость слезоотводящих путей была восстановлена после удаления конкремента через естественные пути [7]. Существуют и другие подобные сообщения, поддерживающие нашу гипотезу; к тому же широко известно, что кюретаж полости слезных канальцев при каналикулите является высокоэффективным вмешательством, а рецидивы после него редки [8][9][10]. В настоящее время уже разработаны консервативные способы лечения пациентов с мочекаменной болезнью, которые показали свою высокую эффективность, однако разработка таких методик потребовала наличия мощной фундаментальной и клинической научной базы, включая генетические, химико-аналитические и физико-механические исследования [11].…”

Section: обзоры литературы Literature Reviewsunclassified

Formation of concrements in the lacrimal excretory system

Yartsev¹,

Kova²

2020

Vestn. oftal'mol.

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Изучение патогенеза конкрементообразования в слезоотводящих путях имеет фундаментальное и практическое значение. В настоящей работе предпринята попытка проанализировать доступные сведения, имеющие отношение к вопросу патогенеза этого явления. В статье отдельно приводятся сведения об этиопатогенезе, физических и химических свойствах конкрементов, полученных из горизонтальной и вертикальной части слезоотводящих путей, подробно анализирован бактериологи ческий и микотический состав конкрементов, приведены различные теории конкрементообразования. Анализ позволил обосновать необходимость разделения конкрементов, образующихся в горизонтальной и вертикальной час ти слезоотводящих путей на основании различий в патогенезе. Этиология конкрементообразования в горизонтальной части слезоотводящих путей в подавляющем большинстве случаев состоит в актиномикотической инфекции. Процесс конкрементообразования в вертикальной части слезоотводящих путей в ряде случаев происходит вследствие предшествующих клинических событий, в других случаях триггерные механизмы остаются неизвестными. На сегодняшний день роль первичного сужения слезоотводящих путей в патогенезе конкрементообразования однозначно не определена. Накопленные знания относительно патогенеза конкрементообразования к настоящему моменту не позволяют сформулировать полную теорию развития этого явления. Дальнейшие исследования патогенеза конкрементообразования актуальны, так как позволят разработать новые диагностические и терапевтические мероприятия, направленные на восстановление проходимости слезоотводящих путей.

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Long-term Follow-up of Canaliculotomies after Canaliculitis

Abstract: The canaliculi remained open within the long-term follow-up period without any drawbacks to the lacrimal outflow. No recurrent infections were seen.

Cited by 7 publications

References 16 publications

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

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

Pediatric Canaliculitis: A Case Report

Formation of concrements in the lacrimal excretory system

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