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Evaluation of Ultrasound Biomicroscopy Combined with Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis.
Ocul Immunol Inflamm. 2020 Apr 10 [Online ahead of print]OI

Abstract

Purpose:

To explore the performance of ultrasound biomicroscopy (UBM) and color Doppler flow imaging (CDFI) in the diagnosis of primary lacrimal canaliculitis.

Methods:

Subjects with relevant symptoms of canaliculitis were prospectively recruited. UBM and CDFI were performed for presumptive diagnosis. Microbiology and histopathology were performed for definitive diagnosis.

Results:

A total of 37 cases were recruited, including 25 cases of canaliculitis and 12 cases of non-canaliculitis. Pathogens were isolated in 13 canaliculitis cases, and the leading pathogens were Actinomyces (4 cases) and Streptococcus (4 cases). UBM and CDFI identified 24 canaliculitis cases (sensitivity = 96%) and 11 non-canaliculitis cases (specificity = 92%). The predictive factors for canaliculitis were lumen wall thickness >0.25 mm (P = .019) and intracanalicular concretions (P = .010). Other typical features were enlarged lumen (2.16 ± 0.25 mm) and hot-wheel sign-on CDFI (84%). These image findings were congruent with histopathologic changes.

Conclusion:

Ultrasonography is a valuable tool to assist the diagnosis of canaliculitis.(Clinical trial registration number: ChiCTR1900025411).

Authors+Show Affiliations

Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China. NHC Key Laboratory of Myopia, Fudan University, Shanghai, China. Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China. NHC Key Laboratory of Myopia, Fudan University, Shanghai, China. Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32275172

Citation

Chen, Qian, et al. "Evaluation of Ultrasound Biomicroscopy Combined With Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis." Ocular Immunology and Inflammation, 2020, pp. 1-7.
Chen Q, Ma R, Yi X, et al. Evaluation of Ultrasound Biomicroscopy Combined with Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis. Ocul Immunol Inflamm. 2020.
Chen, Q., Ma, R., Yi, X., Gan, L., Cheng, Y., Zhang, R., Qian, J., & Yuan, Y. (2020). Evaluation of Ultrasound Biomicroscopy Combined with Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis. Ocular Immunology and Inflammation, 1-7. https://doi.org/10.1080/09273948.2020.1738499
Chen Q, et al. Evaluation of Ultrasound Biomicroscopy Combined With Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis. Ocul Immunol Inflamm. 2020 Apr 10;1-7. PubMed PMID: 32275172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of Ultrasound Biomicroscopy Combined with Color Doppler Flow Imaging in the Diagnosis of Primary Lacrimal Canaliculitis. AU - Chen,Qian, AU - Ma,Ruiqi, AU - Yi,Xiuqian, AU - Gan,Lu, AU - Cheng,Yun, AU - Zhang,Rui, AU - Qian,Jiang, AU - Yuan,Yifei, Y1 - 2020/04/10/ PY - 2020/4/11/entrez KW - Ultrasound biomicroscopy KW - canaliculitis KW - color Doppler flow imaging KW - diagnosis SP - 1 EP - 7 JF - Ocular immunology and inflammation JO - Ocul. Immunol. Inflamm. N2 - Purpose: To explore the performance of ultrasound biomicroscopy (UBM) and color Doppler flow imaging (CDFI) in the diagnosis of primary lacrimal canaliculitis.Methods: Subjects with relevant symptoms of canaliculitis were prospectively recruited. UBM and CDFI were performed for presumptive diagnosis. Microbiology and histopathology were performed for definitive diagnosis.Results: A total of 37 cases were recruited, including 25 cases of canaliculitis and 12 cases of non-canaliculitis. Pathogens were isolated in 13 canaliculitis cases, and the leading pathogens were Actinomyces (4 cases) and Streptococcus (4 cases). UBM and CDFI identified 24 canaliculitis cases (sensitivity = 96%) and 11 non-canaliculitis cases (specificity = 92%). The predictive factors for canaliculitis were lumen wall thickness >0.25 mm (P = .019) and intracanalicular concretions (P = .010). Other typical features were enlarged lumen (2.16 ± 0.25 mm) and hot-wheel sign-on CDFI (84%). These image findings were congruent with histopathologic changes.Conclusion: Ultrasonography is a valuable tool to assist the diagnosis of canaliculitis.(Clinical trial registration number: ChiCTR1900025411). SN - 1744-5078 UR - https://www.unboundmedicine.com/medline/citation/32275172/Evaluation_of_Ultrasound_Biomicroscopy_Combined_with_Color_Doppler_Flow_Imaging_in_the_Diagnosis_of_Primary_Lacrimal_Canaliculitis L2 - http://www.tandfonline.com/doi/full/10.1080/09273948.2020.1738499 DB - PRIME DP - Unbound Medicine ER -
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