Canaliculitis: difficulties in diagnosis, differential diagnosis and comparison between conservative and surgical treatment.
The most important clinical features of canaliculitis include a red, swollen eyelid in the area of the affected canaliculus, a unilateral conjunctivitis, a mucopurulent discharge and in some cases dacryoliths visible in the lacrimal punctum. Conservative therapy was found to be little effective: only 10% of the patients could be cured, 40% showed a recurrence after conservative treatment. 20 patients (50%) were treated by canaliculotomy: 16 of these were cured by this surgical treatment, 4 patients complained of epiphora, although diagnostic syringing showed free lacrimal pathways. The surgical treatment of canaliculitis in combination with conservative therapy yields far better results than conservative therapy alone.
Vécsei
V P
VP
2nd Department of Ophthalmology, Vienna, Austria.
Huber-Spitzy
V
V
Arocker-Mettinger
E
E
Steinkogler
F J
FJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D001419:Bacteria / Q000302:isolation & purification; D003131:Combined Modality Therapy; D003607:Dacryocystitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D005260:Female; D005658:Fungi / Q000302:isolation & purification; D006801:Humans; D007765:Lacrimal Apparatus / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents