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Canaliculitis Awareness.
Turk J Ophthalmol 2016; 46(1):25-29TJ

Abstract

OBJECTIVES

To evaluate the demographic characteristics, treatment, and results of patients with canaliculitis.

MATERIALS AND METHODS

Medical records including the demographic characteristics, clinical findings, and treatment outcomes of patients diagnosed and treated for canaliculitis between September 2009 and March 2014 were analyzed retrospectively.

RESULTS

The median age of the 7 canaliculitis patients consisting of 4 women and 3 men was 49 (range 8-58) years. All patients had unilateral canaliculitis (on the right side in 2 and left side in 5 patients) and the inferior canaliculus was involved more frequently (71.4%). Epiphora, chronic conjunctivitis, a palpable and thickened canaliculus, and yellow discharge from the punctum were present in all cases. Actinomyces spp. was the most frequently cultured microorganism (75%). Dacryolith was observed in 6 patients. Canaliculotomy and dacryolith removal with canalicular curettage were performed, followed by medical treatment (topical penicillin 100,000 U/ml and oral ampicillin/sulbactam) for 10 days. Patients were followed up for a mean duration of 17.0±15.2 (range 3-46) months. Signs and symptoms resolved completely within a month. Epiphora recurred in the 36th month in a single patient and was treated with daily canalicular irrigation with antibiotics and there were no further symptoms during 10 months of follow-up after the recurrence.

CONCLUSION

Canaliculitis is often overlooked and can be misdiagnosed. Every patient with chronic conjunctivitis and lacrimal infection should be examined carefully for canaliculitis.

Authors+Show Affiliations

Dr. Behçet Uz Children's Disease and Surgery Education and Research Hospital, Ophthalmology Clinic, İzmir, Turkey.Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.Başkent University Faculty of Medicine, Department of Microbiology, Ankara, Turkey.Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27800254

Citation

Balıkoğlu Yılmaz, Melike, et al. "Canaliculitis Awareness." Turkish Journal of Ophthalmology, vol. 46, no. 1, 2016, pp. 25-29.
Balıkoğlu Yılmaz M, Şen E, Evren E, et al. Canaliculitis Awareness. Turk J Ophthalmol. 2016;46(1):25-29.
Balıkoğlu Yılmaz, M., Şen, E., Evren, E., Elgin, U., & Yılmazbaş, P. (2016). Canaliculitis Awareness. Turkish Journal of Ophthalmology, 46(1), pp. 25-29.
Balıkoğlu Yılmaz M, et al. Canaliculitis Awareness. Turk J Ophthalmol. 2016;46(1):25-29. PubMed PMID: 27800254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Canaliculitis Awareness. AU - Balıkoğlu Yılmaz,Melike, AU - Şen,Emine, AU - Evren,Ebru, AU - Elgin,Ufuk, AU - Yılmazbaş,Pelin, Y1 - 2016/01/05/ PY - 2015/01/19/received PY - 2015/04/07/accepted PY - 2016/11/2/pubmed PY - 2016/11/2/medline PY - 2016/11/2/entrez KW - Canaliculitis KW - canaliculotomy KW - conjunctivitis KW - curettage SP - 25 EP - 29 JF - Turkish journal of ophthalmology JO - Turk J Ophthalmol VL - 46 IS - 1 N2 - OBJECTIVES: To evaluate the demographic characteristics, treatment, and results of patients with canaliculitis. MATERIALS AND METHODS: Medical records including the demographic characteristics, clinical findings, and treatment outcomes of patients diagnosed and treated for canaliculitis between September 2009 and March 2014 were analyzed retrospectively. RESULTS: The median age of the 7 canaliculitis patients consisting of 4 women and 3 men was 49 (range 8-58) years. All patients had unilateral canaliculitis (on the right side in 2 and left side in 5 patients) and the inferior canaliculus was involved more frequently (71.4%). Epiphora, chronic conjunctivitis, a palpable and thickened canaliculus, and yellow discharge from the punctum were present in all cases. Actinomyces spp. was the most frequently cultured microorganism (75%). Dacryolith was observed in 6 patients. Canaliculotomy and dacryolith removal with canalicular curettage were performed, followed by medical treatment (topical penicillin 100,000 U/ml and oral ampicillin/sulbactam) for 10 days. Patients were followed up for a mean duration of 17.0±15.2 (range 3-46) months. Signs and symptoms resolved completely within a month. Epiphora recurred in the 36th month in a single patient and was treated with daily canalicular irrigation with antibiotics and there were no further symptoms during 10 months of follow-up after the recurrence. CONCLUSION: Canaliculitis is often overlooked and can be misdiagnosed. Every patient with chronic conjunctivitis and lacrimal infection should be examined carefully for canaliculitis. SN - 2149-8695 UR - https://www.unboundmedicine.com/medline/citation/27800254/Canaliculitis_Awareness_ L2 - https://doi.org/10.4274/tjo.68916 DB - PRIME DP - Unbound Medicine ER -