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Long-term Follow-up of Canaliculotomies after Canaliculitis.
Klin Monbl Augenheilkd. 2018 Apr; 235(4):392-397.KM

Abstract

BACKGROUND

Canaliculitis is often misdiagnosed. There are several conservative and surgical treatment options.

PATIENTS AND METHODS

Retrospective analysis of 14 canaliculotomies in 10 patients with canaliculitis. The overall length of the surgically induced opening was measured and compared to the corresponding untreated lacrimal punctae. Lacrimal duct concrements were liberated and sent for microbiological and histological analysis. Patient satisfaction and relief of symptoms were documented as well as clinical findings.

RESULTS

Mean age was 59 ± 10 years (36 - 73 years) with balanced gender distribution. Mean follow-up time was 13 ± 8 months (4 - 27 months). Canaliculotomy was performed on 12 out of 14 inflamed canaliculi; in 2 cases, 3-snip punctoplasty was sufficient. The surgically induced length of the cuts was 1.7 ± 0.9 mm (0.4 - 3.7 mm). In 13 out of 14 cases, macroscopic concrements were found intraoperatively and actinomyces was verified histologically. Nine patients were free of symptoms postoperatively, and one patient manifested markedly less epiphora.

CONCLUSIONS

The canaliculi remained open within the long-term follow-up period without any drawbacks to the lacrimal outflow. No recurrent infections were seen.

Authors+Show Affiliations

Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland. TAZZ, Talacker Augen Zentrum Zürich, Zürich, Switzerland.Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland. TAZZ, Talacker Augen Zentrum Zürich, Zürich, Switzerland.Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29490396

Citation

Stucki, Vera C., et al. "Long-term Follow-up of Canaliculotomies After Canaliculitis." Klinische Monatsblatter Fur Augenheilkunde, vol. 235, no. 4, 2018, pp. 392-397.
Stucki VC, Demolli P, Kniestedt C, et al. Long-term Follow-up of Canaliculotomies after Canaliculitis. Klin Monbl Augenheilkd. 2018;235(4):392-397.
Stucki, V. C., Demolli, P., Kniestedt, C., & Frimmel, S. (2018). Long-term Follow-up of Canaliculotomies after Canaliculitis. Klinische Monatsblatter Fur Augenheilkunde, 235(4), 392-397. https://doi.org/10.1055/s-0043-122672
Stucki VC, et al. Long-term Follow-up of Canaliculotomies After Canaliculitis. Klin Monbl Augenheilkd. 2018;235(4):392-397. PubMed PMID: 29490396.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term Follow-up of Canaliculotomies after Canaliculitis. AU - Stucki,Vera C, AU - Demolli,Pashija, AU - Kniestedt,Christoph, AU - Frimmel,Sonja, Y1 - 2018/02/28/ PY - 2018/3/1/pubmed PY - 2019/6/14/medline PY - 2018/3/1/entrez SP - 392 EP - 397 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 235 IS - 4 N2 - BACKGROUND: Canaliculitis is often misdiagnosed. There are several conservative and surgical treatment options. PATIENTS AND METHODS: Retrospective analysis of 14 canaliculotomies in 10 patients with canaliculitis. The overall length of the surgically induced opening was measured and compared to the corresponding untreated lacrimal punctae. Lacrimal duct concrements were liberated and sent for microbiological and histological analysis. Patient satisfaction and relief of symptoms were documented as well as clinical findings. RESULTS: Mean age was 59 ± 10 years (36 - 73 years) with balanced gender distribution. Mean follow-up time was 13 ± 8 months (4 - 27 months). Canaliculotomy was performed on 12 out of 14 inflamed canaliculi; in 2 cases, 3-snip punctoplasty was sufficient. The surgically induced length of the cuts was 1.7 ± 0.9 mm (0.4 - 3.7 mm). In 13 out of 14 cases, macroscopic concrements were found intraoperatively and actinomyces was verified histologically. Nine patients were free of symptoms postoperatively, and one patient manifested markedly less epiphora. CONCLUSIONS: The canaliculi remained open within the long-term follow-up period without any drawbacks to the lacrimal outflow. No recurrent infections were seen. SN - 1439-3999 UR - https://www.unboundmedicine.com/medline/citation/29490396/Long-term_Follow-up_of_Canaliculotomies_after_Canaliculitis L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0043-122672 DB - PRIME DP - Unbound Medicine ER -