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Lacrimal canaliculitis as a cause of recurrent conjunctivitis.
Optometry. 2009 Sep; 80(9):479-80.O

Abstract

BACKGROUND

Bacterial conjunctivitis is routinely managed by optometrists. This case report describes a case of lacrimal canaliculitis, which is a cause for nonresolving conjunctivitis and is commonly misdiagnosed.

CASE REPORT

A 48-year-old man presented with a 5-month history of chronic conjunctivitis in the right eye. This was diagnosed as bacterial in etiology but had a short-lived response to various topical antibiotics. Examination found signs of canaliculitis, and Actinomyces israelii was cultured from the discharge. This was treated successfully by canaliculotomy with curettage followed by a postoperative course of phenoxymethylpenicillin.

CONCLUSIONS

It is important to consider the diagnosis of lacrimal canaliculitis in any patient with chronic or recurrent conjunctivitis. Greater awareness of this condition would prevent misdiagnosis and delays in referral for definitive treatment.

Authors+Show Affiliations

Moorfields Eye Hospital, London, United Kingdom. sidath@doctors.net.ukNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19716075

Citation

Liyanage, Sidath E., and Michael Wearne. "Lacrimal Canaliculitis as a Cause of Recurrent Conjunctivitis." Optometry (St. Louis, Mo.), vol. 80, no. 9, 2009, pp. 479-80.
Liyanage SE, Wearne M. Lacrimal canaliculitis as a cause of recurrent conjunctivitis. Optometry. 2009;80(9):479-80.
Liyanage, S. E., & Wearne, M. (2009). Lacrimal canaliculitis as a cause of recurrent conjunctivitis. Optometry (St. Louis, Mo.), 80(9), 479-80. https://doi.org/10.1016/j.optm.2009.03.016
Liyanage SE, Wearne M. Lacrimal Canaliculitis as a Cause of Recurrent Conjunctivitis. Optometry. 2009;80(9):479-80. PubMed PMID: 19716075.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lacrimal canaliculitis as a cause of recurrent conjunctivitis. AU - Liyanage,Sidath E, AU - Wearne,Michael, PY - 2009/02/02/received PY - 2009/03/22/accepted PY - 2009/9/1/entrez PY - 2009/9/1/pubmed PY - 2009/12/16/medline SP - 479 EP - 80 JF - Optometry (St. Louis, Mo.) JO - Optometry VL - 80 IS - 9 N2 - BACKGROUND: Bacterial conjunctivitis is routinely managed by optometrists. This case report describes a case of lacrimal canaliculitis, which is a cause for nonresolving conjunctivitis and is commonly misdiagnosed. CASE REPORT: A 48-year-old man presented with a 5-month history of chronic conjunctivitis in the right eye. This was diagnosed as bacterial in etiology but had a short-lived response to various topical antibiotics. Examination found signs of canaliculitis, and Actinomyces israelii was cultured from the discharge. This was treated successfully by canaliculotomy with curettage followed by a postoperative course of phenoxymethylpenicillin. CONCLUSIONS: It is important to consider the diagnosis of lacrimal canaliculitis in any patient with chronic or recurrent conjunctivitis. Greater awareness of this condition would prevent misdiagnosis and delays in referral for definitive treatment. SN - 1558-1527 UR - https://www.unboundmedicine.com/medline/citation/19716075/Lacrimal_canaliculitis_as_a_cause_of_recurrent_conjunctivitis_ L2 - https://medlineplus.gov/tears.html DB - PRIME DP - Unbound Medicine ER -