Tags

Type your tag names separated by a space and hit enter

One-snip punctoplasty and canalicular curettage through the punctum: a minimally invasive surgical procedure for primary canaliculitis.
Ophthalmology 2009; 116(10):2027-30.e2O

Abstract

PURPOSE

To evaluate treatment results of canalicular curettage through the punctum after 1-snip punctoplasty for primary canaliculitis.

DESIGN

Retrospective, interventional case series.

PARTICIPANTS

Thirty patients with primary canaliculitis who were treated at Seoul National University Hospital between February 2005 and January 2008.

METHODS

All patients underwent 1-snip punctoplasty and canalicular curettage through the punctum, and granules or concretions were removed. After the procedure, oral and topical antibiotics were used for 3 weeks. Demographic data and clinical presentations of the patients were analyzed. The resolution of symptoms and inflammatory signs and complications were evaluated 3 weeks after the procedure.

MAIN OUTCOME MEASURES

Resolution rate of the canaliculitis and complications after the procedure.

RESULTS

There was a female predominance in the study group (23:7). Common symptoms of canaliculitis included discharge, tearing, and pus or concretions from the punctum. During the procedure, concretions, granules, or discharges were drained in all patients. In 25 (83.3%) of 30 patients, the symptoms and signs of canaliculitis completely resolved 3 weeks after 1 treatment. Two patients (6.7%) required additional curettage. Symptomatic canalicular strictures developed in 2 patients.

CONCLUSIONS

Materials were removed easily from the canaliculus using a 1-snip punctoplasty and curettage through the punctum. This procedure, combined with systemic and topical antibiotic therapy, can be a highly effective treatment for primary canaliculitis.

Authors+Show Affiliations

Department of Ophthalmology, Seoul National University Hospital, Chongno-Gu, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19616853

Citation

Lee, Min Joung, et al. "One-snip Punctoplasty and Canalicular Curettage Through the Punctum: a Minimally Invasive Surgical Procedure for Primary Canaliculitis." Ophthalmology, vol. 116, no. 10, 2009, pp. 2027-30.e2.
Lee MJ, Choung HK, Kim NJ, et al. One-snip punctoplasty and canalicular curettage through the punctum: a minimally invasive surgical procedure for primary canaliculitis. Ophthalmology. 2009;116(10):2027-30.e2.
Lee, M. J., Choung, H. K., Kim, N. J., & Khwarg, S. I. (2009). One-snip punctoplasty and canalicular curettage through the punctum: a minimally invasive surgical procedure for primary canaliculitis. Ophthalmology, 116(10), pp. 2027-30.e2. doi:10.1016/j.ophtha.2009.03.032.
Lee MJ, et al. One-snip Punctoplasty and Canalicular Curettage Through the Punctum: a Minimally Invasive Surgical Procedure for Primary Canaliculitis. Ophthalmology. 2009;116(10):2027-30.e2. PubMed PMID: 19616853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One-snip punctoplasty and canalicular curettage through the punctum: a minimally invasive surgical procedure for primary canaliculitis. AU - Lee,Min Joung, AU - Choung,Ho-Kyung, AU - Kim,Nam Ju, AU - Khwarg,Sang In, Y1 - 2009/07/18/ PY - 2008/09/27/received PY - 2009/03/17/revised PY - 2009/03/19/accepted PY - 2009/7/21/entrez PY - 2009/7/21/pubmed PY - 2009/10/17/medline SP - 2027 EP - 30.e2 JF - Ophthalmology JO - Ophthalmology VL - 116 IS - 10 N2 - PURPOSE: To evaluate treatment results of canalicular curettage through the punctum after 1-snip punctoplasty for primary canaliculitis. DESIGN: Retrospective, interventional case series. PARTICIPANTS: Thirty patients with primary canaliculitis who were treated at Seoul National University Hospital between February 2005 and January 2008. METHODS: All patients underwent 1-snip punctoplasty and canalicular curettage through the punctum, and granules or concretions were removed. After the procedure, oral and topical antibiotics were used for 3 weeks. Demographic data and clinical presentations of the patients were analyzed. The resolution of symptoms and inflammatory signs and complications were evaluated 3 weeks after the procedure. MAIN OUTCOME MEASURES: Resolution rate of the canaliculitis and complications after the procedure. RESULTS: There was a female predominance in the study group (23:7). Common symptoms of canaliculitis included discharge, tearing, and pus or concretions from the punctum. During the procedure, concretions, granules, or discharges were drained in all patients. In 25 (83.3%) of 30 patients, the symptoms and signs of canaliculitis completely resolved 3 weeks after 1 treatment. Two patients (6.7%) required additional curettage. Symptomatic canalicular strictures developed in 2 patients. CONCLUSIONS: Materials were removed easily from the canaliculus using a 1-snip punctoplasty and curettage through the punctum. This procedure, combined with systemic and topical antibiotic therapy, can be a highly effective treatment for primary canaliculitis. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/19616853/One_snip_punctoplasty_and_canalicular_curettage_through_the_punctum:_a_minimally_invasive_surgical_procedure_for_primary_canaliculitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(09)00296-6 DB - PRIME DP - Unbound Medicine ER -