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Intracanalicular antibiotic ointment loading as a management option for canaliculitis.
Orbit. 2020 Aug 13 [Online ahead of print]O

Abstract

AIM

The aim of the study is to describe intracanalicular antibiotic ointment loading as a treatment option for canaliculitis.

MATERIAL AND METHODS

It was an interventional prospective study. The study was conducted over a 3 year period from June 2015 to June 2018. All patients of canaliculitis managed with intracanalicular antibiotic ointment loading and with a minimum follow up of 3 months were included in the study. The antibiotic ointment was loaded into the canaliculus based on the antibiotic sensitivity of the material expressed out from the canaliculus. Patients' demographics, clinical details, microbiological profile and management outcomes were evaluated.

RESULTS

A total of 24 patients were included in the study. Mean age at presentation was 58.41 ± 9.4 years. The right eye was involved in 15 (62.5%, p = .0424) cases. The incidence of lower canaliculus involvement (14, 58.33%, p = .022) was significantly higher as compared to the upper canaliculus (8, 33.33%). Staphylococcus epidermidis and Actinomyces israelii (6, 25%) were the most commonly isolated organisms. Mean number of intracanalicular antibiotic loading sessions required was 4.21 ± 1.69 (range 2-8). Complete resolution of canaliculitis was seen in all (100%) cases.

CONCLUSION

Canalicular antibiotic ointment loading is a minimally invasive, safe, and effective procedure. It preserves the anatomy and function of the punctum and canaliculus and can be considered as one of the management options for canaliculitis.

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 , Chennai, India.Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya , Chennai, India.Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya , Chennai, India.Nethradhama Superspecialty Eye Hospital , Bangalore, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32787481

Citation

Alam, Md Shahid, et al. "Intracanalicular Antibiotic Ointment Loading as a Management Option for Canaliculitis." Orbit (Amsterdam, Netherlands), 2020, pp. 1-6.
Alam MS, Poonam NS, Koka K, et al. Intracanalicular antibiotic ointment loading as a management option for canaliculitis. Orbit. 2020.
Alam, M. S., Poonam, N. S., Koka, K., Vijay, V., & Ganesh, S. (2020). Intracanalicular antibiotic ointment loading as a management option for canaliculitis. Orbit (Amsterdam, Netherlands), 1-6. https://doi.org/10.1080/01676830.2020.1801763
Alam MS, et al. Intracanalicular Antibiotic Ointment Loading as a Management Option for Canaliculitis. Orbit. 2020 Aug 13;1-6. PubMed PMID: 32787481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intracanalicular antibiotic ointment loading as a management option for canaliculitis. AU - Alam,Md Shahid, AU - Poonam,Nisar Sonam, AU - Koka,Kirthi, AU - Vijay,Vathsalya, AU - Ganesh,Sri, Y1 - 2020/08/13/ PY - 2020/8/14/entrez KW - Canaliculitis KW - intracanalicular KW - ointment loading SP - 1 EP - 6 JF - Orbit (Amsterdam, Netherlands) JO - Orbit N2 - AIM: The aim of the study is to describe intracanalicular antibiotic ointment loading as a treatment option for canaliculitis. MATERIAL AND METHODS: It was an interventional prospective study. The study was conducted over a 3 year period from June 2015 to June 2018. All patients of canaliculitis managed with intracanalicular antibiotic ointment loading and with a minimum follow up of 3 months were included in the study. The antibiotic ointment was loaded into the canaliculus based on the antibiotic sensitivity of the material expressed out from the canaliculus. Patients' demographics, clinical details, microbiological profile and management outcomes were evaluated. RESULTS: A total of 24 patients were included in the study. Mean age at presentation was 58.41 ± 9.4 years. The right eye was involved in 15 (62.5%, p = .0424) cases. The incidence of lower canaliculus involvement (14, 58.33%, p = .022) was significantly higher as compared to the upper canaliculus (8, 33.33%). Staphylococcus epidermidis and Actinomyces israelii (6, 25%) were the most commonly isolated organisms. Mean number of intracanalicular antibiotic loading sessions required was 4.21 ± 1.69 (range 2-8). Complete resolution of canaliculitis was seen in all (100%) cases. CONCLUSION: Canalicular antibiotic ointment loading is a minimally invasive, safe, and effective procedure. It preserves the anatomy and function of the punctum and canaliculus and can be considered as one of the management options for canaliculitis. SN - 1744-5108 UR - https://www.unboundmedicine.com/medline/citation/32787481/Intracanalicular_antibiotic_ointment_loading_as_a_management_option_for_canaliculitis_ L2 - http://www.tandfonline.com/doi/full/10.1080/01676830.2020.1801763 DB - PRIME DP - Unbound Medicine ER -
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