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Incision-sparing management of canaliculitis.
Orbit. 2014 Oct; 33(5):356-8.O

Abstract

PURPOSE

To report our results of canaliculitis treatment with our incision-sparing technique which includes dilation of the punctum and compression of the canaliculus to express the sulphur granules, curettage and irrigation of the canaliculus with antibiotic solutions, and topical antibiotic use.

METHODS

The medical records of all patients treated for canaliculitis between October 2009 and March 2013 were rewiewed. The punctum of affected canaliculus was dilated under local anesthesia. Then, starting just distal to common canaliculus, the horizontal canaliculus was compressed along its entire length using either a forceps or a cotton tip applicator on the conjunctival surface and a curette on the skin. Compression was repeated until no more sulphur granules appeared and the swelling of the canaliculus disappeared. A chalazion curette was inserted into canaliculus to evacuate any residual concretions. The canaliculus were irrigated with antibiotic solutions and the patients were prescribed topical antibiotic solutions for one month Patients with follow-up less than 3 months after the intervention were excluded from the study.

RESULTS

Nine patients met criteria for canaliculitis. There were 1 male and 8 female patients. Median age of the patients was 53 years (range 36-72 years). All patients had unilateral lower canaliculitis. Mean duration of the symptoms was 13.4 months (range 4-36 months). We followed up all patients for at least 3 months after the intervention. The signs and symptoms resolved completely in all patients within 1 month and recurrence was not observed in any patient. No patients reported epiphora after the procedure.

CONCLUSION

Our incision-sparing technique is effective in the treatment of canaliculitis. We suggest that minimally invasive or incision-sparing techniques be attempted before canaliculotomy to decrease postoperative complications rates.

Authors+Show Affiliations

Haydarpaşa Numune Education and Research Hospital, Eye Clinic , Istanbul , Turkey and.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24831661

Citation

Buttanri, Ibrahim Bülent, et al. "Incision-sparing Management of Canaliculitis." Orbit (Amsterdam, Netherlands), vol. 33, no. 5, 2014, pp. 356-8.
Buttanri IB, Serin D, Akbaba M, et al. Incision-sparing management of canaliculitis. Orbit. 2014;33(5):356-8.
Buttanri, I. B., Serin, D., Akbaba, M., & Karslioğlu, S. (2014). Incision-sparing management of canaliculitis. Orbit (Amsterdam, Netherlands), 33(5), 356-8. https://doi.org/10.3109/01676830.2014.907812
Buttanri IB, et al. Incision-sparing Management of Canaliculitis. Orbit. 2014;33(5):356-8. PubMed PMID: 24831661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incision-sparing management of canaliculitis. AU - Buttanri,Ibrahim Bülent, AU - Serin,Didem, AU - Akbaba,Müslime, AU - Karslioğlu,Safak, Y1 - 2014/05/15/ PY - 2014/5/17/entrez PY - 2014/5/17/pubmed PY - 2015/4/23/medline KW - Canaliculitis KW - compression KW - concreation KW - management KW - non-incisional SP - 356 EP - 8 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 33 IS - 5 N2 - PURPOSE: To report our results of canaliculitis treatment with our incision-sparing technique which includes dilation of the punctum and compression of the canaliculus to express the sulphur granules, curettage and irrigation of the canaliculus with antibiotic solutions, and topical antibiotic use. METHODS: The medical records of all patients treated for canaliculitis between October 2009 and March 2013 were rewiewed. The punctum of affected canaliculus was dilated under local anesthesia. Then, starting just distal to common canaliculus, the horizontal canaliculus was compressed along its entire length using either a forceps or a cotton tip applicator on the conjunctival surface and a curette on the skin. Compression was repeated until no more sulphur granules appeared and the swelling of the canaliculus disappeared. A chalazion curette was inserted into canaliculus to evacuate any residual concretions. The canaliculus were irrigated with antibiotic solutions and the patients were prescribed topical antibiotic solutions for one month Patients with follow-up less than 3 months after the intervention were excluded from the study. RESULTS: Nine patients met criteria for canaliculitis. There were 1 male and 8 female patients. Median age of the patients was 53 years (range 36-72 years). All patients had unilateral lower canaliculitis. Mean duration of the symptoms was 13.4 months (range 4-36 months). We followed up all patients for at least 3 months after the intervention. The signs and symptoms resolved completely in all patients within 1 month and recurrence was not observed in any patient. No patients reported epiphora after the procedure. CONCLUSION: Our incision-sparing technique is effective in the treatment of canaliculitis. We suggest that minimally invasive or incision-sparing techniques be attempted before canaliculotomy to decrease postoperative complications rates. SN - 1744-5108 UR - https://www.unboundmedicine.com/medline/citation/24831661/Incision_sparing_management_of_canaliculitis_ L2 - http://www.tandfonline.com/doi/full/10.3109/01676830.2014.907812 DB - PRIME DP - Unbound Medicine ER -