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Outcomes of canaliculotomy in recalcitrant canaliculitis.
Saudi J Ophthalmol 2019 Jan-Mar; 33(1):46-51SJ

Abstract

Purpose

To evaluate outcomes of canaliculotomy in cases of recalcitrant canaliculitis.

Methods

All cases diagnosed with canaliculitis who subsequently underwent canaliculotomy over a 15 year period were included in the study. We reviewed and analyzed demographic data, clinical presentation, microbiological profile and management outcomes.

Results

Out of 40 patients, 21 (52.5%) were males. Age range was 17-89 years. Lower canaliculus was affected most commonly (53.81%). Mean duration of symptoms was 8 months (range- 0.5-60 months, median 6 months). The most common presenting symptom was watering (34, 85%) while pouting puncta (32, 80%) was the most frequently documented clinical sign. Concretions were seen in 20 (50%) patients and Actinomyces was the most commonly isolated micro organism in the concretion group. Polymicrobial growth was seen in 18 (45%) patients. Commonly isolated bacteria on culture were Staphylococcus epidermidis (16, 40%) followed by Actinomyces (14, 34%) and Corynebacterium species (5, 12.5%). Complete resolution was seen in 39 cases post-operatively (97.5%, p = 0.0002). Mean follow up period was 21 months (range- 3-180 months).Recurrence was noted in 6(15%) cases, of which 4 were males (66.67%, p = 0.069) Four (66.67%, p = 0.069) patients had associated diabetes and 5 (83.33%, p = 0.046) had associated concretions. Six (15%) patients complained of persistent epiphora.

Conclusion

Canaliculotomy is a safe and effective method for management of recalcitrant canaliculitis with a success rate of 85%. Presence of concretions was associated with higher risk of recurrence in our study.

Authors+Show Affiliations

Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata (A Unit of Medical Research Foundation, Chennai), India.Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, India.Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30930663

Citation

Alam, Md Shahid, et al. "Outcomes of Canaliculotomy in Recalcitrant Canaliculitis." Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society, vol. 33, no. 1, 2019, pp. 46-51.
Alam MS, Poonam NS, Mukherjee B. Outcomes of canaliculotomy in recalcitrant canaliculitis. Saudi J Ophthalmol. 2019;33(1):46-51.
Alam, M. S., Poonam, N. S., & Mukherjee, B. (2019). Outcomes of canaliculotomy in recalcitrant canaliculitis. Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society, 33(1), pp. 46-51. doi:10.1016/j.sjopt.2018.12.001.
Alam MS, Poonam NS, Mukherjee B. Outcomes of Canaliculotomy in Recalcitrant Canaliculitis. Saudi J Ophthalmol. 2019;33(1):46-51. PubMed PMID: 30930663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of canaliculotomy in recalcitrant canaliculitis. AU - Alam,Md Shahid, AU - Poonam,Nisar Sonam, AU - Mukherjee,Bipasha, Y1 - 2018/12/21/ PY - 2018/06/29/received PY - 2018/11/26/revised PY - 2018/12/03/accepted PY - 2019/4/2/entrez PY - 2019/4/2/pubmed PY - 2019/4/2/medline KW - Canaliculitis KW - Canaliculotomy KW - Concretions KW - Epiphora SP - 46 EP - 51 JF - Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society JO - Saudi J Ophthalmol VL - 33 IS - 1 N2 - Purpose: To evaluate outcomes of canaliculotomy in cases of recalcitrant canaliculitis. Methods: All cases diagnosed with canaliculitis who subsequently underwent canaliculotomy over a 15 year period were included in the study. We reviewed and analyzed demographic data, clinical presentation, microbiological profile and management outcomes. Results: Out of 40 patients, 21 (52.5%) were males. Age range was 17-89 years. Lower canaliculus was affected most commonly (53.81%). Mean duration of symptoms was 8 months (range- 0.5-60 months, median 6 months). The most common presenting symptom was watering (34, 85%) while pouting puncta (32, 80%) was the most frequently documented clinical sign. Concretions were seen in 20 (50%) patients and Actinomyces was the most commonly isolated micro organism in the concretion group. Polymicrobial growth was seen in 18 (45%) patients. Commonly isolated bacteria on culture were Staphylococcus epidermidis (16, 40%) followed by Actinomyces (14, 34%) and Corynebacterium species (5, 12.5%). Complete resolution was seen in 39 cases post-operatively (97.5%, p = 0.0002). Mean follow up period was 21 months (range- 3-180 months).Recurrence was noted in 6(15%) cases, of which 4 were males (66.67%, p = 0.069) Four (66.67%, p = 0.069) patients had associated diabetes and 5 (83.33%, p = 0.046) had associated concretions. Six (15%) patients complained of persistent epiphora. Conclusion: Canaliculotomy is a safe and effective method for management of recalcitrant canaliculitis with a success rate of 85%. Presence of concretions was associated with higher risk of recurrence in our study. SN - 1319-4534 UR - https://www.unboundmedicine.com/medline/citation/30930663/Outcomes_of_canaliculotomy_in_recalcitrant_canaliculitis L2 - https://linkinghub.elsevier.com/retrieve/pii/S1319-4534(18)30234-0 DB - PRIME DP - Unbound Medicine ER -