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Clinical characteristics and factors associated the outcome of lacrimal canaliculitis.
Acta Ophthalmol. 2011 Dec; 89(8):759-63.AO

Abstract

PURPOSE

To analyze the clinical and microbiological characteristics and factors associated with the outcome of lacrimal canaliculitis.

METHODS

Thirty four patients (34 eyes) treated for lacrimal canaliculitis between January 2001 and December 2006 in a tertiary medical centre were retrospectively reviewed. Clinical and microbiological profiles, treatment outcome, and risk factors related to recurrence and concretions formation were evaluated.

RESULTS

There were 10 males and 24 females with a mean age of 64 years. The average time lapse to diagnosis was 18 months. Lower canaliculus (91%) was most commonly involved. Six patients (18%) had both upper and lower canaliculitis. Culture positive specimens were 21 of 25 (84%), with a mixed infection of 7 (28%). Streptococcus species (28%), Staphylococcus species (20%), and Actinomyces (16%) were the most commonly cultured organisms. Concretions were noted in nine patients (26%). All cultures of concretions were positive. No specific factor was found to be related to concretions formation. Canaliculotomy was performed in 25 patients (74%). Recurrence developed in seven patients (21%), with a mean time to recurrence of 24 months. Multivariate analysis demonstrated that male patients (p=0.038) and presence of concretions (p=0.001) were associated with higher recurrent rate. Both patients with Haemophilus influenzae isolate developed recurrence (100%).

CONCLUSION

Canaliculitis are often delayed diagnosed and prone to recur or persist. Male gender and concretions are important risk factors for recurrence. Surgical removal of all possible concretions is essential for cure.

Authors+Show Affiliations

Department of Ophthalmology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20064116

Citation

Lin, Shuai-Chun, et al. "Clinical Characteristics and Factors Associated the Outcome of Lacrimal Canaliculitis." Acta Ophthalmologica, vol. 89, no. 8, 2011, pp. 759-63.
Lin SC, Kao SC, Tsai CC, et al. Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. Acta Ophthalmol. 2011;89(8):759-63.
Lin, S. C., Kao, S. C., Tsai, C. C., Cheng, C. Y., Kau, H. C., Hsu, W. M., & Lee, S. M. (2011). Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. Acta Ophthalmologica, 89(8), 759-63. https://doi.org/10.1111/j.1755-3768.2009.01827.x
Lin SC, et al. Clinical Characteristics and Factors Associated the Outcome of Lacrimal Canaliculitis. Acta Ophthalmol. 2011;89(8):759-63. PubMed PMID: 20064116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. AU - Lin,Shuai-Chun, AU - Kao,Shu-Ching, AU - Tsai,Chieh-Chih, AU - Cheng,Ching-Yu, AU - Kau,Hui-Chuan, AU - Hsu,Wen-Ming, AU - Lee,Shu-Mei, Y1 - 2010/01/08/ PY - 2010/1/13/entrez PY - 2010/1/13/pubmed PY - 2012/3/31/medline SP - 759 EP - 63 JF - Acta ophthalmologica JO - Acta Ophthalmol VL - 89 IS - 8 N2 - PURPOSE: To analyze the clinical and microbiological characteristics and factors associated with the outcome of lacrimal canaliculitis. METHODS: Thirty four patients (34 eyes) treated for lacrimal canaliculitis between January 2001 and December 2006 in a tertiary medical centre were retrospectively reviewed. Clinical and microbiological profiles, treatment outcome, and risk factors related to recurrence and concretions formation were evaluated. RESULTS: There were 10 males and 24 females with a mean age of 64 years. The average time lapse to diagnosis was 18 months. Lower canaliculus (91%) was most commonly involved. Six patients (18%) had both upper and lower canaliculitis. Culture positive specimens were 21 of 25 (84%), with a mixed infection of 7 (28%). Streptococcus species (28%), Staphylococcus species (20%), and Actinomyces (16%) were the most commonly cultured organisms. Concretions were noted in nine patients (26%). All cultures of concretions were positive. No specific factor was found to be related to concretions formation. Canaliculotomy was performed in 25 patients (74%). Recurrence developed in seven patients (21%), with a mean time to recurrence of 24 months. Multivariate analysis demonstrated that male patients (p=0.038) and presence of concretions (p=0.001) were associated with higher recurrent rate. Both patients with Haemophilus influenzae isolate developed recurrence (100%). CONCLUSION: Canaliculitis are often delayed diagnosed and prone to recur or persist. Male gender and concretions are important risk factors for recurrence. Surgical removal of all possible concretions is essential for cure. SN - 1755-3768 UR - https://www.unboundmedicine.com/medline/citation/20064116/Clinical_characteristics_and_factors_associated_the_outcome_of_lacrimal_canaliculitis_ L2 - https://doi.org/10.1111/j.1755-3768.2009.01827.x DB - PRIME DP - Unbound Medicine ER -