Primary Lacrimal Canaliculitis with clinically detected concretions: One-snip punctoplasty with lateral canaliculotomy vs. punctum sparing canalicular curettage

Landman-Vu, J.; Fayet, B; Racy, E.; Hanna, Najib-Georges; Merle, H

doi:10.1016/j.jfo.2020.08.031

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…Typical symptoms of canaliculitis include redness and swelling in the area of the medial canthus with or without tenderness, epiphora, refractory or recurrent conjunctivitis, dilation or inverting of the lacrimal punctum with or without secretion of mucopurulent discharge, and the expression of concretions from the lacrimal punctum [1,[3][4][5] (Figure 1A-C). Being the result of an incidental infection, symptoms are usually unilateral, but they can also occur binocularly [2].…”

Section: Introductionmentioning

confidence: 99%

“…While conservative treatment options such as local or systemic antibiotic therapy or sac washouts are often associated with persistence and recurrence of the disease, surgical treatment with removal of any concretions has been proven to be the approach of choice for long-term therapeutic success [3,7,8]. Possible surgical procedures include canaliculotomy with and without sparing of the lacrimal punctum, with and without curettage and with and without STI, as well as more minimally invasive methods like punctoplasties with and without combined (lateral) canaliculotomy [4,5,7,[9][10][11]. However, none of the procedures mentioned can currently be regarded as the gold standard, mainly because studies in the literature are inconsistent in terms of inclusion criteria, definition of failure/recurrence and follow-up time [4].…”

Section: Introductionmentioning

confidence: 99%

“…Possible surgical procedures include canaliculotomy with and without sparing of the lacrimal punctum, with and without curettage and with and without STI, as well as more minimally invasive methods like punctoplasties with and without combined (lateral) canaliculotomy [4,5,7,[9][10][11]. However, none of the procedures mentioned can currently be regarded as the gold standard, mainly because studies in the literature are inconsistent in terms of inclusion criteria, definition of failure/recurrence and follow-up time [4]. Due to the rarity of the disease, there is also little data on the superiority of the different surgical approaches regarding their long-term outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Meanwhile, Wang et al demonstrated a higher success rate for canaliculotomy with STI compared to canaliculotomy without STI. The choice of surgical procedure therefore remains left to the surgeon's preference at the current time [4,8,11].…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

Storp¹,

Zimmermann²,

Eßer³

et al. 2022

JCM

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As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canaliculitis in a long-term follow-up setting. A total of 25 eyes of 25 patients with canaliculitis treated with canaliculotomy and STI at the University of Muenster Medical Center, Germany, from 2015 to 2021 were included in this study. Data analysis involved clinical symptoms, complications, duration of STI and rate of recurrence. Mean patient age was 63.7 ± 17.2 years. After a follow-up time of 3.7 ± 1.5 years, 88% of cases showed no recurrence of inflammation. The mean duration of STI was 5.8 ± 3.4 months. Complications such as post-operative hemorrhage, spread of infection, obstruction of the canaliculus or migration of the STI were not observed in any of the patients. However, tube dislocation occurred in four cases, a pyogenic granuloma in two cases and a fistula formation in one case. The management of canaliculitis by canaliculotomy with STI showed very good postoperative outcomes and low complication rates in the long-term and can therefore be considered a safe and successful surgical approach.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

Storp¹,

Zimmermann²,

Eßer³

et al. 2022

JCM

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Efficacy and safety of super pulse CO2 laser-assisted punctoplasty with canalicular curettage in primary canaliculitis

et al. 2023

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The objective of this study was to evaluate the efficacy and safety of super pulse CO2 laser-assisted punctoplasty with canalicular curettage in primary canaliculitis. In this retrospective serial case study, the clinical data of 26 patients who underwent super pulse CO2 laser-assisted punctoplasty for the treatment of canaliculitis were collected from January 2020 to May 2022. The clinical presentation, intraoperative and microbiologic findings, surgical pain severity, postoperative outcome, and complications were studied. Of the 26 patients, most were females (female:male 20:6), with a mean age of 60.1 ± 16.1 years (range, 19–93). Mucopurulent discharge (96.2%), eyelid redness and swelling (53.8%), and epiphora (38.5%) were the most common presentations. During the surgery, concretions were present in 73.1% (19/26) of the patients. The surgical pain severity scores ranged from 1 to 5, according to the visual analog scale, with a mean score of 3.2 ± 0.8. This procedure resulted in complete resolution in 22 (84.6%) patients and significant improvement in 2 (7.7%) patients, and 2 (7.7%) patients required additional lacrimal surgery with a mean follow-up time of 10.9 ± 3.7 months. The surgical procedure of super pulse CO2 laser-assisted punctoplasty followed by curettage appears to be a safe, effective, minimally invasive, and well-tolerated treatment for primary canaliculitis.

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Lacrimal Canaliculitis: A Major Review

Pal,

Alam

2024

Seminars in Ophthalmology

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Primary Lacrimal Canaliculitis with clinically detected concretions: One-snip punctoplasty with lateral canaliculotomy vs. punctum sparing canalicular curettage

Cited by 3 publications

References 26 publications

Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

Efficacy and safety of super pulse CO2 laser-assisted punctoplasty with canalicular curettage in primary canaliculitis

Lacrimal Canaliculitis: A Major Review

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