Punctal dilatation and non-incisional canalicular curettage in the management of infectious canaliculitis

Bothra, Nandini; Sharma, Abhimanyu; Bansal, Oshin; Ali, Mohammad Javed

doi:10.1080/01676830.2019.1704797

Cited by 13 publications

(5 citation statements)

References 39 publications

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“…[7] In a study with a larger sample size, the lower punctum was also more vulnerable (68%). [20] Epiphora with discharge and presence of concretions under compression were the typical symptoms and signs of canaliculitis in our study, which emphasized the importance of concretions in canaliculitis disease process. Xiang et al summarized 37 primary canaliculitis patients, 36 of them (97.3%) showed concretions.…”

Section: Discussionsupporting

confidence: 72%

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Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

Shen¹,

Qin²,

Li³

et al. 2021

Preprint

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Purpose: This study aims to describe the characteristics of canaliculitis patients and compare the operative outcomes between punctum-sparing canaliculotomy and traditional punctum-incised canaliculotomy.Methods: The medical records of 58 patients who were diagnosed with canaliculitis were reviewed from March 1, 2010, to December 31, 2020. The demographic characteristics, symptoms, time to disease onset, location of involvement, operation information, and prognosis were recorded and analyzed.Results: Canaliculitis showed a female (67%) predominance. Epiphora with discharge was the most common symptom which happened in 56 (97%) patients. The recurrence rates of the punctum-incised group and the punctum-sparing group were 5% and 9% respectively, and there was no significant difference between the two groups. (p=0.514)Conclusion: The recurrence rate of the punctum-sparing group showed no significant difference with punctum-incised group. Patients with recurrence finally recovered after multiple treatments. Squeezing by tweezers was a good way to locate the infected lacrimal duct. Punctum-incised surgery can be the first-line therapy for canaliculitis.

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Section: Discussionsupporting

confidence: 72%

“…[12,18,19] Very few patients involved bilaterally. [20,21] In our study, affection rate of the upper punctum and the lower punctum was the same, while in other studies, the lower punctum was affected more frequently. Lin et al reported a predominance of lower canaliculitis up to 73%.…”

Section: Discussionsupporting

confidence: 56%

Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

Shen¹,

Qin²,

Li³

et al. 2021

Preprint

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“…Different surgical managements, such as canaliculotomy, punctoplasty, and canalicular curettage, have been proven to be effective in primary canaliculitis to varying degrees [4][5][6]29]. The aim of all surgical managements is to remove concretions and to eliminate stasis and subsequent bacterial growth.…”

Section: Discussionmentioning

confidence: 99%

Surgical procedure of canaliculoplasty in the treatment of primary canaliculitis associated with canalicular dilatation

Zhang

et al. 2020

BMC Ophthalmol

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Background: Primary canaliculitis is a chronic infection of the proximal lacrimal pathway. We aimed to evaluate surgical outcomes of a canaliculoplasty procedure for primary canaliculitis associated with canalicular dilatation. Methods: This study enrolled 42 primary canaliculitis patients with canalicular dilatation who underwent canaliculoplasty. All patients were treated with canaliculotomy, curettage of canalicular contents and canaliculoplasty with stent placement. Patients' demographics, clinical features, and follow-up outcomes were evaluated. Results: There were 12 males and 30 females with a mean age of 66.1 ± 13.9 years. The mean duration time from the first onset of signs/symptoms to diagnosis was 30.6 ± 39.5 months. Epiphora (90.5%) and mucopurulent discharge from punctum (85.7%) were the most common signs. Thirty-three out of 42 patients (78.6%) achieved complete remission with a mean follow-up time of 25.3 ± 12.9 months. There were 3 patients found to have canalicular stenosis due to obstruction after surgery. Conclusion: Canalicular dilatation is a severe condition of primary canaliculitis, probably due to a combined result of long standing disease and the presence of concretions. The surgical procedure of canaliculoplasty can be a highly effective treatment for primary canaliculitis associated with canalicular dilatation.

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“…Unfortunately, neither dacryoscintigraphy nor dacryocystography would allow one to determine if there is improved flow through the marsupialised canaliculus. Lacrimal pump dysfunction, canalicular fibrosis, and fistula formation are documented complications of canaliculotomy procedures 26 27. With these considerations in mind, it is reasonable to say that marsupialisation of the remnant canaliculus is a relatively simple procedure that can be performed at the time of reconstruction after tumour resection.…”

mentioning

confidence: 99%

Holding back the tears: does marsupialisation of a remnant canaliculus after tumour resection help eliminate epiphora?

et al. 2022

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Punctal dilatation and non-incisional canalicular curettage in the management of infectious canaliculitis

Cited by 13 publications

References 39 publications

Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

Comparing Efficacy of Punctum-incised Surgery versus Punctum- Sparing Surgery in Primary Canaliculitis Patients

Surgical procedure of canaliculoplasty in the treatment of primary canaliculitis associated with canalicular dilatation

Holding back the tears: does marsupialisation of a remnant canaliculus after tumour resection help eliminate epiphora?

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