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Sang In Khwarg - One of the best experts on this subject based on the ideXlab platform.
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one snip punctoplasty and canalicular curettage through the punctum a minimally invasive surgical procedure for primary Canaliculitis
Ophthalmology, 2009Co-Authors: Ho Kyung Choung, Sang In KhwargAbstract:Purpose To evaluate treatment results of canalicular curettage through the punctum after 1-snip punctoplasty for primary Canaliculitis. Design Retrospective, interventional case series. Participants Thirty patients with primary Canaliculitis who were treated at Seoul National University Hospital between February 2005 and January 2008. Methods All patients underwent 1-snip punctoplasty and canalicular curettage through the punctum, and granules or concretions were removed. After the procedure, oral and topical antibiotics were used for 3 weeks. Demographic data and clinical presentations of the patients were analyzed. The resolution of symptoms and inflammatory signs and complications were evaluated 3 weeks after the procedure. Main Outcome Measures Resolution rate of the Canaliculitis and complications after the procedure. Results There was a female predominance in the study group (23:7). Common symptoms of Canaliculitis included discharge, tearing, and pus or concretions from the punctum. During the procedure, concretions, granules, or discharges were drained in all patients. In 25 (83.3%) of 30 patients, the symptoms and signs of Canaliculitis completely resolved 3 weeks after 1 treatment. Two patients (6.7%) required additional curettage. Symptomatic canalicular strictures developed in 2 patients. Conclusions Materials were removed easily from the canaliculus using a 1-snip punctoplasty and curettage through the punctum. This procedure, combined with systemic and topical antibiotic therapy, can be a highly effective treatment for primary Canaliculitis. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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Canaliculitis associated with smartplug punctal plug insertion clinical features and management
Journal of The Korean Ophthalmological Society, 2009Co-Authors: Ho Kyung Choung, Sang In KhwargAbstract:Purpose: To report the clinical features and treatment of Canaliculitis associated with SmartPlug punctal plug insertion. Methods: Case selection criteria included patients with Canaliculitis, who were managed at Seoul National University Hospital from January 2006 to October 2008, presenting with a history of punctal plug insertion. The operation reports were reviewed to identify patients in whom SmartPlug was discovered during the operation. Six patients (8 eyes) were identified, and a retrospective chart review was performed for all the patients. Results: The mean age of the patients was 34.38.6 years, and there were 1 men and 5 women. Common symptoms were mucous discharge (6 eyes) and conjunctival injection (2 eyes). The mean time from insertion of the plug to onset of symptoms was 27.027.0 months (range 4 to 77 months). All patients underwent surgical removal of the punctal plug by one-snip punctoplasty, canalicular retrograde compression using 2 cotton-tipped applications (2 eyes), or canalicular curettage (6 eyes). All patients had resolution of symptoms after the procedure. Conclusions: Canaliculitis should be considered when there is conjunctival discharge or injection in patients with SmartPlug. One-snip punctoplasty and retrograde compression of canaliculus can be attempted preferentially as a minimally-invasive treatment option.
Ehud I Assia - One of the best experts on this subject based on the ideXlab platform.
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actinomyces Canaliculitis diagnosis of a masquerading disease
Graefes Archive for Clinical and Experimental Ophthalmology, 2004Co-Authors: Daniel Briscoe, Evgeny Edelstein, Ioannis Zacharopoulos, Yoram Keness, Avi Kilman, Fruma Zur, Ehud I AssiaAbstract:To review the diagnosis and management of seven cases of Actinomyces Canaliculitis. Culture of discharge was performed in six of seven patients with Actinomyces Canaliculitis using a PD Plus/F blood culture bottle. All patients were treated by canaliculotomy with curettage of dacryoliths, followed by treatment with systemic penicillin and Sulphacetamide drops over a period of 3–6 months. Part of the curetted concretions was fixed on a glass slide and part was sent to the laboratory for culture. Four patients were women and three men with age ranging between 43 and 90 years. The average time lapse between onset of symptoms until diagnosis was 3 years. All cases presented with epiphora, chronic conjunctivitis, palpably thickened canaliculus, and yellow punctal discharge. Diagnosis was achieved by culture of discharge in three of six cases, culture of concretions in three of five cases, and staining of dacryoliths in all seven cases. Follow-up ranged between 12 and 48 months. The Canaliculitis resolved completely and all patients have patent canalicula. Actinomyces Canaliculitis presents with epiphora, chronic purulent conjunctivitis, a palpably thickened canaliculus, and yellow punctual discharge. In suspect cases canuliculotomy and curettage should be performed, although canalicular reconstruction is generally unnecessary. Culture of discharge and concretions using PD Plus/F blood culture medium gave improved results over accepted norms. Fixation of smeared concretions on a slide in alcohol is simple and is diagnostic of the disease. We recommend long-term systemic penicillin treatment in Actinomyces Canaliculitis.
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actinomyces Canaliculitis diagnosis of a masquerading disease
Graefes Archive for Clinical and Experimental Ophthalmology, 2004Co-Authors: Daniel Briscoe, Evgeny Edelstein, Ioannis Zacharopoulos, Yoram Keness, Avi Kilman, Ehud I AssiaAbstract:Background To review the diagnosis and management of seven cases of Actinomyces Canaliculitis.
Mohammad Javed Ali - One of the best experts on this subject based on the ideXlab platform.
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multidrug resistant escherichia coli Canaliculitis
Ophthalmic Plastic and Reconstructive Surgery, 2020Co-Authors: Oshin Bansal, Nandini Bothra, Savitri Sharma, Mohammad Javed AliAbstract:Escherichia coli Canaliculitis is an exceptionally rare organism to cause primary Canaliculitis. The present case describes unilateral Canaliculitis refractory to conventional therapy with a significant history of recurrent culture proven E. coli urinary tract infection. Microbiological analysis revealed E. coli bacilli and histological examination showed goblet cell metaplasia, subepithelial edema with acute and chronic inflammatory infiltrate. The possibility of an endogenous infection or autoinoculation secondary to urinary tract infection cannot be ruled out.
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punctal dilatation and non incisional canalicular curettage in the management of infectious Canaliculitis
Orbit, 2020Co-Authors: Nandini Bothra, Oshin Bansal, Abhimanyu Sharma, Mohammad Javed AliAbstract:To describe the outcomes of punctal dilatation and non-incisional canalicular curettage in patients with infectious Canaliculitis. A retrospective analysis of 53 canaliculi of 47 eyes of 46 consecu...
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multi viral Canaliculitis case report and review of literature
International Ophthalmology, 2019Co-Authors: Mohammad Javed Ali, Joveeta Joseph, Shweta Gupta, Sai Jeevana Madhuri GudaAbstract:To report an atypical case of multiple viruses causing Canaliculitis. Case report of a young female presenting with atypical course of refractory unilateral Canaliculitis with complete mid-bicanalicular obstructions. Canalicular scrapings were subjected to immunofluorescence techniques and polymerase chain reactions to identify the viruses. Investigations revealed a Canaliculitis of multi-viral etiology; herpes simplex virus and varicella zoster virus. A canalicular curettage followed by topical acyclovir helped in the resolution of Canaliculitis. An encounter with an atypical Canaliculitis with negative bacteriology work up, suboptimal response to routine therapies, and mid-canalicular obstructions should alert the physician to investigate for viral etiology.
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Canaliculitis and intracanalicular foreign bodies
2017Co-Authors: Mohammad Javed AliAbstract:The canaliculi and the lacrimal sac are the regions of lacrimal drainage system, which are prone for infections. Canaliculitis is an infection of the canalicular part of lacrimal drainage system. This chapter would describe the epidemiology, etiology, clinical presentations, microbiological profiles, diagnosis, management, and outcomes of Canaliculitis along with a brief discussion on intracanalicular foreign bodies.
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kocuria rosea Canaliculitis a clinicomicrobiological correlation
Ophthalmic Plastic and Reconstructive Surgery, 2014Co-Authors: Mohammad Javed Ali, Aditi Pujari, Swapna R Motukupally, Milind N NaikAbstract:Kocuria rosea is usually a nonpathogenic commensal colonizing the skin and oropharynx but can become an opportunistic pathogen in immunocompromised states. Documented cases of any infections with K. rosea are exceedingly rare. This study reports the first case of Canaliculitis with K. rosea, its clinicomicrobiological correlation, and management.
Lalitha Prajna - One of the best experts on this subject based on the ideXlab platform.
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primary Canaliculitis the incidence clinical features outcome and long term epiphora after snip punctoplasty and curettage
Saudi Journal of Ophthalmology, 2015Co-Authors: Usha R Kim, Bhagwati Wadwekar, Lalitha PrajnaAbstract:Abstract 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 65years (range, 14–80yrs). 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 11months. 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.
Daniel Briscoe - One of the best experts on this subject based on the ideXlab platform.
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actinomyces Canaliculitis diagnosis of a masquerading disease
Graefes Archive for Clinical and Experimental Ophthalmology, 2004Co-Authors: Daniel Briscoe, Evgeny Edelstein, Ioannis Zacharopoulos, Yoram Keness, Avi Kilman, Fruma Zur, Ehud I AssiaAbstract:To review the diagnosis and management of seven cases of Actinomyces Canaliculitis. Culture of discharge was performed in six of seven patients with Actinomyces Canaliculitis using a PD Plus/F blood culture bottle. All patients were treated by canaliculotomy with curettage of dacryoliths, followed by treatment with systemic penicillin and Sulphacetamide drops over a period of 3–6 months. Part of the curetted concretions was fixed on a glass slide and part was sent to the laboratory for culture. Four patients were women and three men with age ranging between 43 and 90 years. The average time lapse between onset of symptoms until diagnosis was 3 years. All cases presented with epiphora, chronic conjunctivitis, palpably thickened canaliculus, and yellow punctal discharge. Diagnosis was achieved by culture of discharge in three of six cases, culture of concretions in three of five cases, and staining of dacryoliths in all seven cases. Follow-up ranged between 12 and 48 months. The Canaliculitis resolved completely and all patients have patent canalicula. Actinomyces Canaliculitis presents with epiphora, chronic purulent conjunctivitis, a palpably thickened canaliculus, and yellow punctual discharge. In suspect cases canuliculotomy and curettage should be performed, although canalicular reconstruction is generally unnecessary. Culture of discharge and concretions using PD Plus/F blood culture medium gave improved results over accepted norms. Fixation of smeared concretions on a slide in alcohol is simple and is diagnostic of the disease. We recommend long-term systemic penicillin treatment in Actinomyces Canaliculitis.
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actinomyces Canaliculitis diagnosis of a masquerading disease
Graefes Archive for Clinical and Experimental Ophthalmology, 2004Co-Authors: Daniel Briscoe, Evgeny Edelstein, Ioannis Zacharopoulos, Yoram Keness, Avi Kilman, Ehud I AssiaAbstract:Background To review the diagnosis and management of seven cases of Actinomyces Canaliculitis.