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Actinomyces canaliculitis and its surgical treatment.
Int Ophthalmol. 2012 Apr; 32(2):183-6.IO

Abstract

The objective of this article is to describe four rare cases of Actinomyces israelii canaliculitis and their surgical treatment in a case series consisting of four cases of Actinomyces israelii canaliculitis. Patient charts were reviewed retrospectively. All four patients presented with epiphora, recurrent conjunctivitis, swelling around the superior canaliculus, and mucopurulent punctal discharge persisting despite medical treatments. Two patients with large canalicular dilation were treated with canaliculoplasty and the other two patients with minimal canalicular dilation were treated with one-snip punctoplasty. The specimens that were evacuated were sent for microbiological and histopathological examinations. The results showed that Actinomyces israelii was isolated in all patients. After medical and surgical treatment, the patients experienced resolution of signs and symptoms. The disease did not recur during the 2-4-year follow-up period. In conclusion Canaliculoplasty with canalicular intubation and one-snip punctoplasty may be safe and efficacious techniques in largely dilated canaliculum and mildly dilated canaliculum, respectively, with no demonstrable risk of post-treatment epiphora in patients with Actinomyces canaliculitis.

Authors+Show Affiliations

Department of 1st Eye Clinic, Ankara Training and Research Hospital, Ministry of Health, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22350077

Citation

Yuksel, Dilek, et al. "Actinomyces Canaliculitis and Its Surgical Treatment." International Ophthalmology, vol. 32, no. 2, 2012, pp. 183-6.
Yuksel D, Hazirolan D, Sungur G, et al. Actinomyces canaliculitis and its surgical treatment. Int Ophthalmol. 2012;32(2):183-6.
Yuksel, D., Hazirolan, D., Sungur, G., & Duman, S. (2012). Actinomyces canaliculitis and its surgical treatment. International Ophthalmology, 32(2), 183-6. https://doi.org/10.1007/s10792-012-9531-7
Yuksel D, et al. Actinomyces Canaliculitis and Its Surgical Treatment. Int Ophthalmol. 2012;32(2):183-6. PubMed PMID: 22350077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actinomyces canaliculitis and its surgical treatment. AU - Yuksel,Dilek, AU - Hazirolan,Dicle, AU - Sungur,Gulten, AU - Duman,Sunay, Y1 - 2012/02/15/ PY - 2010/02/24/received PY - 2012/01/30/accepted PY - 2012/2/22/entrez PY - 2012/2/22/pubmed PY - 2012/8/4/medline SP - 183 EP - 6 JF - International ophthalmology JO - Int Ophthalmol VL - 32 IS - 2 N2 - The objective of this article is to describe four rare cases of Actinomyces israelii canaliculitis and their surgical treatment in a case series consisting of four cases of Actinomyces israelii canaliculitis. Patient charts were reviewed retrospectively. All four patients presented with epiphora, recurrent conjunctivitis, swelling around the superior canaliculus, and mucopurulent punctal discharge persisting despite medical treatments. Two patients with large canalicular dilation were treated with canaliculoplasty and the other two patients with minimal canalicular dilation were treated with one-snip punctoplasty. The specimens that were evacuated were sent for microbiological and histopathological examinations. The results showed that Actinomyces israelii was isolated in all patients. After medical and surgical treatment, the patients experienced resolution of signs and symptoms. The disease did not recur during the 2-4-year follow-up period. In conclusion Canaliculoplasty with canalicular intubation and one-snip punctoplasty may be safe and efficacious techniques in largely dilated canaliculum and mildly dilated canaliculum, respectively, with no demonstrable risk of post-treatment epiphora in patients with Actinomyces canaliculitis. SN - 1573-2630 UR - https://www.unboundmedicine.com/medline/citation/22350077/Actinomyces_canaliculitis_and_its_surgical_treatment_ L2 - https://doi.org/10.1007/s10792-012-9531-7 DB - PRIME DP - Unbound Medicine ER -