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1.
Rev. cuba. oftalmol ; 33(2): e815, graf
Artículo en Español | LILACS, CUMED | ID: biblio-1139080

RESUMEN

RESUMEN La canaliculitis es una entidad rara, con frecuencia mal diagnosticada por su similitud con otras enfermedades. Se reporta una paciente femenina, de 56 años de edad, remitida a la Consulta de Oculoplastia del Instituto Cubano de Oftalmología "Ramón Pando Ferrer", por secreciones purulentas y epífora del ojo izquierdo. Al examen se observó hiperemia conjuntival, secreción purulenta, punto lagrimal inferior hiperémico, dilatado, y se constató salida de concreciones por este al comprimir el canalículo. Se confirmó el diagnóstico de canaliculitis aguda supurada con concreciones. Se indicó tratamiento quirúrgico, que consistió en la canaliculotomía con remoción de las concreciones. Un examen clínico detallado, con adecuado conocimiento de la vía lagrimal excretora, permitió el diagnóstico certero, con un tratamiento quirúrgico eficaz y una evolución satisfactoria(AU)


ABSTRACT Canaliculitis is an uncommon infectious disease. It is often misdiagnosed due to its overlapping presentation to other common entities. A 56-year-old female patient is reported. She was referred to Ramón Pando Ferrer Cuban Ophthalmologic Institute, Ocular Plastic Surgery consultation, suffering from punctal swelling, discharge, and epiphora. At ocular examination was described conjunctival hyperemia, pouting punctum and mucopurulent discharge. Punctal regurgitation of concretions appears under syringing. It was confirmed acute canaliculitis with concretions in the left eye. A canaliculotomy was performed, and the concretions were removed. Routine clinical examinations helped to get a right diagnosis of canaliculitis and the surgical result was satisfactory(AU)


Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Canaliculitis/diagnóstico , Canaliculitis/terapia , Enfermedades del Aparato Lagrimal/cirugía
2.
Arq. bras. oftalmol ; 81(4): 341-343, July-Aug. 2018. graf
Artículo en Inglés | LILACS | ID: biblio-950470

RESUMEN

ABSTRACT Chronic lacrimal canaliculitis is a rare infection of the lacrimal system, and can lead to misdiagnosis due to its overlapping presentation to other common entities. The authors report a case of lacrimal canaliculitis with a three-year history of recurrent unilateral red eye and mucopurulent discharge. Here, we describe the clinical course, surgical details, and microbial analysis of canaliculitis infection.


RESUMO A canaliculite lacrimal crónica é uma infecção rara do sistema lacrimal e pode levar a erros de diagnóstico devido à sua apresentação sobreposta a outras entidades comuns. Os autores relatam um caso de canaliculite lacrimal com história de três anos de olho vermelho unilateral recorrente e secreção mucopurulenta. Aqui, descrevemos o curso clínico, os detalhes cirúrgicos e a análise microbiológica da infecção por canaliculite.


Asunto(s)
Humanos , Masculino , Adulto , Infecciones Estreptocócicas/diagnóstico , Streptococcus constellatus/aislamiento & purificación , Canaliculitis/diagnóstico , Infecciones Estreptocócicas/cirugía , Enfermedad Crónica , Canaliculitis/cirugía , Canaliculitis/microbiología
4.
SJO-Saudi Journal of Ophthalmology. 2015; 29 (4): 274-277
en Inglés | IMEMR | ID: emr-173802

RESUMEN

Purpose: To study the incidence, clinical features and outcome of primary canaliculitis with special reference to long-term epiphora after Snip-punctoplasty and curettage


Methods: Single center, retrospective, telephonic questionnaire study. The medical records of patients who visited Orbit and Oculoplasty clinic, Tertiary Eye Hospital, India from 01 July 2011 to 31 June 2012 were analyzed. Records of the patients with primary canaliculitis were reviewed for clinical profile and management. Post-surgical patients thus identified were telephonically contacted in December 2012. Questionnaire was used to assess the postsurgical epiphora. Symptomatic patients were given clinic appointment, reassessed and managed


Results: 2245 patients visited Orbit and Oculoplasty clinic during the study period. The incidence of primary canaliculitis was 1.4% [31 patients]. The median age of the patients with canaliculitis was 65 years [range, 14-80 yrs]. Sixteen patients were male. All cases were unilateral and four eyes showed both upper and lower canalicular involvement. The commonest clinical presentations were pus or concretion from punctum [28], mucous discharge [23], epiphora [18] and conjunctival injection [18]. Three snip punctoplasty and canalicular curettage was performed in 30 of these patients. Twenty of the 25 available culture results were positive and streptococcus species was the most common isolated organism. Records revealed that five [22%] of these patients had persistence of symptoms. Twenty-three patients could be contacted telephonically. The median follow-up of these patients was 11 months. On telephonic communication we found that two [8.7%] patients had epiphora. Munk epiphora score in these patients was three and one respectively


Conclusions: Incidence of canaliculitis was 1.4%. Most common isolate was streptococcus species. Snip-punctoplasty and curettage is a safe and efficacious modality of treatment of canaliculitis. Post-operative epiphora occurred in 8.7% patients


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Canaliculitis/diagnóstico , Incidencia , Resultado del Tratamiento , Enfermedades del Aparato Lagrimal , Legrado , Estudios Retrospectivos , Encuestas y Cuestionarios
5.
Rev. bras. oftalmol ; 70(6): 426-429, nov.-dez. 2011. ilus
Artículo en Portugués | LILACS | ID: lil-612921

RESUMEN

A canaliculite é uma infecção rara e crônica do canalículo lacrimal, cuja etiologia mais comum é o Actinomyces israelli (bactéria gram positiva, anaeróbica). Esta afecção não apresenta cura espontânea. O diagnóstico diferencial se faz com: conjuntivite crônica recorrente, blefarite e hordéolo. O tratamento definitivo é o cirúrgico (canaliculotomia), sendo realizado sob anestesia local.


The canaliculitis is a rare infection and chronicle lachrymal pathology, whose commoner etiology is Actinomyces israelli ( bacteria anaeroby positive gram). This pathology does not present cure espontany The diagnosis differential with is done: Recurring chronic conjunctivitis, blefarity and hordeoly. The definitive treatment is the surgical (canaliculotomy)), being accomplished under location anesthetizes.


Asunto(s)
Humanos , Femenino , Adulto , Penicilina G/uso terapéutico , Legrado/métodos , Canaliculitis/cirugía , Canaliculitis/diagnóstico , Canaliculitis/tratamiento farmacológico , Actinomyces/aislamiento & purificación , Actinomicosis/diagnóstico , Ciprofloxacina/uso terapéutico , Diagnóstico Diferencial , Dilatación , Canaliculitis/microbiología , Aparato Lagrimal/cirugía , Enfermedades del Aparato Lagrimal/cirugía
6.
Rev. bras. oftalmol ; 70(6): 400-403, nov.-dez. 2011. tab
Artículo en Portugués | LILACS | ID: lil-612914

RESUMEN

A canaliculite é uma afecção rara da via lacrimal. Os autores apresentam uma série de cinco casos tratados na Faculdade de Medicina de Botucatu-UNESP, comentam os achados à luz da literatura pertinente e tecem considerações sobre o tratamento efetuado, ressaltando que a canaliculotomia pode ter bons resultados mesmo que o canalículo não receba suturas ou moldes.


Canaliculitis is a rare disorder of the lacrimal system. The authors present five cases treated at the Faculdade de Medicina de Botucatu-UNESP. The findings according to the literature review are comment with considerations on the treatment performed and emphasizing that the canaliculotomy may have good results even without canaliculus sutures or stents.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Anciano , Anciano de 80 o más Años , Procedimientos Quirúrgicos Oftalmológicos/métodos , Canaliculitis/cirugía , Aparato Lagrimal/cirugía , Legrado/métodos , Canaliculitis/diagnóstico , Canaliculitis/tratamiento farmacológico , Antibacterianos/uso terapéutico
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