One-Snip Punctoplasty and Canalicular Curettage Through the PunctumA Minimally Invasive Surgical Procedure for Primary Canaliculitis

Vertical Canaliculotomy With Retrograde Expression of Concretions for the Treatment of Canaliculitis

“…9 In their experience and according to previous studies, the surgical treatment of disease can be similar in both primary and secondary canaliculitis because the goal in both is to remove the canalicular contents, with potential removal of the punctal plug. 14 In the current series, the pathologic assessment of patients with a history of plug placement did not reveal punctal plugs, and the patients had resolution of their symptoms after the procedure.…”

“…11 A recent study of punctoplasty with curettage noted good success rates, although 2 of 30 patients did develop canalicular stricture with associated epiphora. 9 Canaliculotomy with curettage has also been reported to have good outcomes and is favored by some because of the excellent exposure afforded to the surgeon. The portion of the canaliculus incised and the length of the incision vary, with many surgeons performing a generous opening that wholly involves or extends in the horizontal portion of the canaliculus.…”

“…These procedures have been reported to have relatively good success rates, although the potential for canalicular scarring and/ or dysfunction exists. 2,[4][5][6][7][8][9][10][11] Herein, the authors report experience using a technique of vertical canaliculotomy with retrograde expression of concretions for the treatment of canaliculitis.…”

Clinical features and surgical outcomes of primary canaliculitis with concretions

“…Lee et al also thought that concretions extruding from the punctum were an important characteristic and a sign for diagnosis with canaliculitis. [16,17] In addition, a series of case studies summarized the higher incidence rate between 73.3% and 100% of canalicular concretions in canaliculitis patients. [2–8,17] In our current study, concretions were identified in 36 of 37 cases (97.3%), and most of the patients had >1 piece of concretion, mainly containing approximately 4 to 8 pieces.…”

“…[16,17] In addition, a series of case studies summarized the higher incidence rate between 73.3% and 100% of canalicular concretions in canaliculitis patients. [2–8,17] In our current study, concretions were identified in 36 of 37 cases (97.3%), and most of the patients had >1 piece of concretion, mainly containing approximately 4 to 8 pieces. However, few studies noted a lower rate, but the authors did not explain the reasons for the low incidence.…”