Tags

Type your tag names separated by a space and hit enter

Primary canaliculitis.
Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec; 25(6):481-4.OP

Abstract

PURPOSE

To review the clinical findings, treatment outcomes, and microbiology of primary canaliculitis.

METHODS

A medical record database was queried to identify cases of primary canaliculitis. The 23 cases identified were reviewed for clinical presentation, treatment, microbiology, pathology, and patient outcome at the time of most recent follow-up. Participants were also surveyed to determine long-term treatment outcomes.

RESULTS

Twenty-three patients met the criteria for primary canaliculitis. The median duration of symptoms was 135 days. The most common symptoms were mattering and epiphora. Punctal regurgitation was the most common clinical finding. Seven patients had multiple canalicular involvement. Treatment included either medical therapy or surgical intervention. Cultures were obtained from 16 participants. Sixty-two percent of identified organisms were gram positive, and most organisms were anaerobes or facultative anaerobes. The most common organisms identified were Streptococcus and Staphylococcus species. Actinomyces and Propionibacterium species followed. Actinomyces israelii was not cultured. Eighteen patients responded to a mailed survey (response rate, 67%). Most respondents (83%) denied having either epiphora or mattering at median 90 months follow-up. Three of the respondents reported having had an additional episode of canaliculitis since last clinical follow-up. Two of these occurred in a previously uninvolved punctum.

CONCLUSION

Although involvement of multiple canaliculi over time is more common than previously recognized, most patients do not have lingering problems with epiphora or mattering. The microbiology of primary canaliculitis does not appear to be evolving, with Actinomyces, and other anaerobes or facultative anaerobes being common pathogens.

Authors+Show Affiliations

Department of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA. zaldivar.renzo@gmail.comNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19935254

Citation

Zaldívar, Renzo A., and Elizabeth A. Bradley. "Primary Canaliculitis." Ophthalmic Plastic and Reconstructive Surgery, vol. 25, no. 6, 2009, pp. 481-4.
Zaldívar RA, Bradley EA. Primary canaliculitis. Ophthalmic Plast Reconstr Surg. 2009;25(6):481-4.
Zaldívar, R. A., & Bradley, E. A. (2009). Primary canaliculitis. Ophthalmic Plastic and Reconstructive Surgery, 25(6), 481-4. https://doi.org/10.1097/IOP.0b013e3181b8c185
Zaldívar RA, Bradley EA. Primary Canaliculitis. Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec;25(6):481-4. PubMed PMID: 19935254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary canaliculitis. AU - Zaldívar,Renzo A, AU - Bradley,Elizabeth A, PY - 2009/11/26/entrez PY - 2009/11/26/pubmed PY - 2010/1/9/medline SP - 481 EP - 4 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 25 IS - 6 N2 - PURPOSE: To review the clinical findings, treatment outcomes, and microbiology of primary canaliculitis. METHODS: A medical record database was queried to identify cases of primary canaliculitis. The 23 cases identified were reviewed for clinical presentation, treatment, microbiology, pathology, and patient outcome at the time of most recent follow-up. Participants were also surveyed to determine long-term treatment outcomes. RESULTS: Twenty-three patients met the criteria for primary canaliculitis. The median duration of symptoms was 135 days. The most common symptoms were mattering and epiphora. Punctal regurgitation was the most common clinical finding. Seven patients had multiple canalicular involvement. Treatment included either medical therapy or surgical intervention. Cultures were obtained from 16 participants. Sixty-two percent of identified organisms were gram positive, and most organisms were anaerobes or facultative anaerobes. The most common organisms identified were Streptococcus and Staphylococcus species. Actinomyces and Propionibacterium species followed. Actinomyces israelii was not cultured. Eighteen patients responded to a mailed survey (response rate, 67%). Most respondents (83%) denied having either epiphora or mattering at median 90 months follow-up. Three of the respondents reported having had an additional episode of canaliculitis since last clinical follow-up. Two of these occurred in a previously uninvolved punctum. CONCLUSION: Although involvement of multiple canaliculi over time is more common than previously recognized, most patients do not have lingering problems with epiphora or mattering. The microbiology of primary canaliculitis does not appear to be evolving, with Actinomyces, and other anaerobes or facultative anaerobes being common pathogens. SN - 1537-2677 UR - https://www.unboundmedicine.com/medline/citation/19935254/Primary_canaliculitis_ L2 - http://dx.doi.org/10.1097/IOP.0b013e3181b8c185 DB - PRIME DP - Unbound Medicine ER -