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Clinical features and surgical outcomes of primary canaliculitis with concretions.
Medicine (Baltimore). 2017 Mar; 96(9):e6188.M

Abstract

The purpose of our study is to analyze the clinical, ultrasonic, microbiologic, and histopathologic characteristics, management, and outcomes in a series of primary canaliculitis with concretions patients who underwent canaliculotomy with curettage.Thirty-six patients were reviewed for age, sex, location and laterality, duration of symptoms, clinical symptoms, ultrasonic signs, result of microbiologic culture and histopathologic examination, treatment, and outcomes. Main outcomes were the clinical, ultrasonic, and microbiological characteristics of the canalicular concretions; the histopathologic profiles; and the treatment effect.Thirty-six patients were identified with concretions in all 37 cases of the patients with canaliculitis. There were 30 (83.3%) female patients with a mean age of 54.2 years. Twenty-eight (77.8%) patients were misdiagnosed or delayed diagnosed, and the mean duration was 17.1 months. The common most clinical presentations were discharge (100%), epiphora (66.7%), erythema (52.8%), and swelling (47.2%), and concretions were found in 31 of 37 patients by typical clinical manifestations and in 5 of 6 patients by ultrasonic. Actinomyces was found in 8 of 13 histopathologic specimens, and microbiological cultures were positive in 13 of 24 patients. All patients underwent canaliculotomy with curettage to completely remove all concretions and contents; 35 of 36 patients' symptoms improved and 1 recurred after treatment at a median of 21.7 months follow-up according to the telephonic questionnaires.Canalicular concretions play an important role in primary canaliculitis. Canaliculotomy with curettage is a standard therapy with canalicular concretions, and the surgical removal of all possible concretions is essential for cure.

Authors+Show Affiliations

aEye Hospital of Wenzhou Medical University, Wenzhou bDepartment of Ophthalmology, the Second Hospital of Yinzhou, Ningbo, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

28248874

Citation

Xiang, Shengjin, et al. "Clinical Features and Surgical Outcomes of Primary Canaliculitis With Concretions." Medicine, vol. 96, no. 9, 2017, pp. e6188.
Xiang S, Lin B, Pan Q, et al. Clinical features and surgical outcomes of primary canaliculitis with concretions. Medicine (Baltimore). 2017;96(9):e6188.
Xiang, S., Lin, B., Pan, Q., Zheng, M., Qin, X., Wang, Y., & Zhang, Z. (2017). Clinical features and surgical outcomes of primary canaliculitis with concretions. Medicine, 96(9), e6188. https://doi.org/10.1097/MD.0000000000006188
Xiang S, et al. Clinical Features and Surgical Outcomes of Primary Canaliculitis With Concretions. Medicine (Baltimore). 2017;96(9):e6188. PubMed PMID: 28248874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical features and surgical outcomes of primary canaliculitis with concretions. AU - Xiang,Shengjin, AU - Lin,Bin, AU - Pan,Qintuo, AU - Zheng,Meiqin, AU - Qin,Xiaoyi, AU - Wang,Youpei, AU - Zhang,Zongduan, PY - 2017/3/2/entrez PY - 2017/3/2/pubmed PY - 2017/3/25/medline SP - e6188 EP - e6188 JF - Medicine JO - Medicine (Baltimore) VL - 96 IS - 9 N2 - The purpose of our study is to analyze the clinical, ultrasonic, microbiologic, and histopathologic characteristics, management, and outcomes in a series of primary canaliculitis with concretions patients who underwent canaliculotomy with curettage.Thirty-six patients were reviewed for age, sex, location and laterality, duration of symptoms, clinical symptoms, ultrasonic signs, result of microbiologic culture and histopathologic examination, treatment, and outcomes. Main outcomes were the clinical, ultrasonic, and microbiological characteristics of the canalicular concretions; the histopathologic profiles; and the treatment effect.Thirty-six patients were identified with concretions in all 37 cases of the patients with canaliculitis. There were 30 (83.3%) female patients with a mean age of 54.2 years. Twenty-eight (77.8%) patients were misdiagnosed or delayed diagnosed, and the mean duration was 17.1 months. The common most clinical presentations were discharge (100%), epiphora (66.7%), erythema (52.8%), and swelling (47.2%), and concretions were found in 31 of 37 patients by typical clinical manifestations and in 5 of 6 patients by ultrasonic. Actinomyces was found in 8 of 13 histopathologic specimens, and microbiological cultures were positive in 13 of 24 patients. All patients underwent canaliculotomy with curettage to completely remove all concretions and contents; 35 of 36 patients' symptoms improved and 1 recurred after treatment at a median of 21.7 months follow-up according to the telephonic questionnaires.Canalicular concretions play an important role in primary canaliculitis. Canaliculotomy with curettage is a standard therapy with canalicular concretions, and the surgical removal of all possible concretions is essential for cure. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/28248874/Clinical_features_and_surgical_outcomes_of_primary_canaliculitis_with_concretions_ L2 - http://dx.doi.org/10.1097/MD.0000000000006188 DB - PRIME DP - Unbound Medicine ER -