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Long-term Outcome of Incision and Curettage Treatment in Patients with Lacrimal Gland Ductulitis.
Korean J Ophthalmol. 2019 Dec; 33(6):487-492.KJ

Abstract

PURPOSE

To describe the effects and long-term outcomes of incision and curettage treatment in patients with lacrimal gland ductulitis.

METHODS

Twenty-four patients (24 eyes) with lacrimal gland ductulitis who were treated at Saevit Eye Hospital from June 2010 to November 2016. All patients underwent incision and curettage through the lacrimal ductule, and granules or concretions were removed. After the procedure, oral and topical antibiotics, oral anti-inflammatory agent were used for a week. Clinical presentations of the patients were analyzed. The resolution of symptoms and inflammatory signs and recurrence were evaluated more than 12 months after the procedure including telephone follow-up by a specialist nurse.

RESULTS

Common symptoms were a painful, swelling mass with mucous discharge (17 eyes) and conjunctival injection (7 eyes) at the lateral canthal area. During the procedure, 22 patients (91.7%) had typical sulfur granule of Actinomyces, and 10 patients (41.7%) had many cilia in the expressed debris from the ductule. Twenty-three of 24 patients had resolution of symptoms after the procedure and all but one patient (95.8%) showed no recurrence.

CONCLUSIONS

Incision and curettage is a simple and less invasive procedure that may be considered as a first treatment option for lacrimal gland ductulitis. Furthermore, incision and curettage of the affected lacrimal ductule has been shown to be effective at minimizing long-term recurrence of lacrimal ductulitis.

Authors+Show Affiliations

Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea.Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea. szera0306@saeviteye.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31833244

Citation

An, Jiseon, and Kyeongwook Lee. "Long-term Outcome of Incision and Curettage Treatment in Patients With Lacrimal Gland Ductulitis." Korean Journal of Ophthalmology : KJO, vol. 33, no. 6, 2019, pp. 487-492.
An J, Lee K. Long-term Outcome of Incision and Curettage Treatment in Patients with Lacrimal Gland Ductulitis. Korean J Ophthalmol. 2019;33(6):487-492.
An, J., & Lee, K. (2019). Long-term Outcome of Incision and Curettage Treatment in Patients with Lacrimal Gland Ductulitis. Korean Journal of Ophthalmology : KJO, 33(6), 487-492. https://doi.org/10.3341/kjo.2019.0013
An J, Lee K. Long-term Outcome of Incision and Curettage Treatment in Patients With Lacrimal Gland Ductulitis. Korean J Ophthalmol. 2019;33(6):487-492. PubMed PMID: 31833244.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term Outcome of Incision and Curettage Treatment in Patients with Lacrimal Gland Ductulitis. AU - An,Jiseon, AU - Lee,Kyeongwook, PY - 2019/01/30/received PY - 2019/02/15/revised PY - 2019/03/26/accepted PY - 2019/12/14/entrez PY - 2019/12/14/pubmed PY - 2020/6/13/medline KW - Actinomyces KW - Curettage KW - Lacrimal apparatus KW - Lacrimal gland ductulitis SP - 487 EP - 492 JF - Korean journal of ophthalmology : KJO JO - Korean J Ophthalmol VL - 33 IS - 6 N2 - PURPOSE: To describe the effects and long-term outcomes of incision and curettage treatment in patients with lacrimal gland ductulitis. METHODS: Twenty-four patients (24 eyes) with lacrimal gland ductulitis who were treated at Saevit Eye Hospital from June 2010 to November 2016. All patients underwent incision and curettage through the lacrimal ductule, and granules or concretions were removed. After the procedure, oral and topical antibiotics, oral anti-inflammatory agent were used for a week. Clinical presentations of the patients were analyzed. The resolution of symptoms and inflammatory signs and recurrence were evaluated more than 12 months after the procedure including telephone follow-up by a specialist nurse. RESULTS: Common symptoms were a painful, swelling mass with mucous discharge (17 eyes) and conjunctival injection (7 eyes) at the lateral canthal area. During the procedure, 22 patients (91.7%) had typical sulfur granule of Actinomyces, and 10 patients (41.7%) had many cilia in the expressed debris from the ductule. Twenty-three of 24 patients had resolution of symptoms after the procedure and all but one patient (95.8%) showed no recurrence. CONCLUSIONS: Incision and curettage is a simple and less invasive procedure that may be considered as a first treatment option for lacrimal gland ductulitis. Furthermore, incision and curettage of the affected lacrimal ductule has been shown to be effective at minimizing long-term recurrence of lacrimal ductulitis. SN - 2092-9382 UR - https://www.unboundmedicine.com/medline/citation/31833244/Long-term_Outcome_of_Incision_and_Curettage_Treatment_in_Patients_with_Lacrimal_Gland_Ductulitis DB - PRIME DP - Unbound Medicine ER -