Journal article
Long-term Follow-up of Canaliculotomies after Canaliculitis.
- Stucki VC Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.
- Demolli P Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.
- Kniestedt C Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.
- Frimmel S Department of Ophthalmology, University Hospital Zürich, Zürich, Switzerland.
- 2018-03-01
Published in:
- Klinische Monatsblatter fur Augenheilkunde. - 2018
Adult
Aged
Canaliculitis
Dacryocystorhinostomy
Female
Follow-Up Studies
Humans
Lacrimal Apparatus
Lacrimal Apparatus Diseases
Male
Middle Aged
Patient Satisfaction
Postoperative Complications
Retrospective Studies
English
BACKGROUND
Canaliculitis is often misdiagnosed. There are several conservative and surgical treatment options.
PATIENTS AND METHODS
Retrospective analysis of 14 canaliculotomies in 10 patients with canaliculitis. The overall length of the surgically induced opening was measured and compared to the corresponding untreated lacrimal punctae. Lacrimal duct concrements were liberated and sent for microbiological and histological analysis. Patient satisfaction and relief of symptoms were documented as well as clinical findings.
RESULTS
Mean age was 59 ± 10 years (36 - 73 years) with balanced gender distribution. Mean follow-up time was 13 ± 8 months (4 - 27 months). Canaliculotomy was performed on 12 out of 14 inflamed canaliculi; in 2 cases, 3-snip punctoplasty was sufficient. The surgically induced length of the cuts was 1.7 ± 0.9 mm (0.4 - 3.7 mm). In 13 out of 14 cases, macroscopic concrements were found intraoperatively and actinomyces was verified histologically. Nine patients were free of symptoms postoperatively, and one patient manifested markedly less epiphora.
CONCLUSIONS
The canaliculi remained open within the long-term follow-up period without any drawbacks to the lacrimal outflow. No recurrent infections were seen.
Canaliculitis is often misdiagnosed. There are several conservative and surgical treatment options.
PATIENTS AND METHODS
Retrospective analysis of 14 canaliculotomies in 10 patients with canaliculitis. The overall length of the surgically induced opening was measured and compared to the corresponding untreated lacrimal punctae. Lacrimal duct concrements were liberated and sent for microbiological and histological analysis. Patient satisfaction and relief of symptoms were documented as well as clinical findings.
RESULTS
Mean age was 59 ± 10 years (36 - 73 years) with balanced gender distribution. Mean follow-up time was 13 ± 8 months (4 - 27 months). Canaliculotomy was performed on 12 out of 14 inflamed canaliculi; in 2 cases, 3-snip punctoplasty was sufficient. The surgically induced length of the cuts was 1.7 ± 0.9 mm (0.4 - 3.7 mm). In 13 out of 14 cases, macroscopic concrements were found intraoperatively and actinomyces was verified histologically. Nine patients were free of symptoms postoperatively, and one patient manifested markedly less epiphora.
CONCLUSIONS
The canaliculi remained open within the long-term follow-up period without any drawbacks to the lacrimal outflow. No recurrent infections were seen.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1055/s-0043-122672
- PMID 29490396
- Persistent URL
- https://sonar.rero.ch/global/documents/204055
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