Intracanalicular antibiotics may obviate the need for surgical management of chronic suppurative canaliculitis.
Indian J Ophthalmol
;
2008 Jul-Aug; 56(4): 338-40
Artigo
em Inglês
| IMSEAR
| ID: sea-72233
ABSTRACT
Chronic suppurative lacrimal canaliculitis is an important cause of ocular surface discomfort. Treatment with topical antibiotics is often inadequate and surgical treatment by canaliculotomy and canalicular curettage has been the mainstay of treatment in the past. The role of canalicular antibiotic irrigation has been inadequately studied. We report the clinical features, microbiological profile and treatment outcome in a series of 12 patients with suppurative lacrimal canaliculitis. Two patients had Actinomyces infection, five had Nocardia infection and seven patients had polymicrobial infection. Three patients had resolution of canaliculitis on combination broad-spectrum topical antibiotic therapy using ciprofloxacin and fortified cefazolin. In nine patients, topical antibiotic therapy was combined with canalicular irrigation using fortified cefazolin. All patients had excellent resolution of canaliculitis without the need for surgical treatment. Availability of broad-spectrum antibiotics and canalicular irrigation may offer an alternative to surgery in the management of suppurative lacrimal canaliculitis.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Soluções Oftálmicas
/
Bactérias
/
Idoso
/
Humanos
/
Ciprofloxacina
/
Infecções Oculares Bacterianas
/
Infecções Oculares Fúngicas
/
Cefazolina
/
Doença Crônica
/
Estudos Retrospectivos
Tipo de estudo:
Estudo observacional
Idioma:
Inglês
Revista:
Indian J Ophthalmol
Ano de publicação:
2008
Tipo de documento:
Artigo
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