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Related Experiment Videos

A case series on chronic canaliculitis.

Deepali Varma1, B Chang, Sahar Musaad

  • 1Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK. deepalivarma@hotmail.com

Orbit (Amsterdam, Netherlands)
|March 15, 2005
PubMed
Summary

This study highlights chronic canaliculitis, an uncommon eye infection often misdiagnosed. It details two cases, one caused by Actinomyces spp. and a novel case of Arcanobacterium haemolyticum, both successfully treated with canaliculotomy and curettage.

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Area of Science:

  • Ophthalmology
  • Medical Microbiology

Background:

  • Primary chronic canaliculitis is an uncommon ocular condition frequently misdiagnosed and inadequately treated.
  • This report details two distinct cases of canaliculitis, caused by Actinomyces spp. and Arcanobacterium haemolyticum.

Observation:

  • Both patients presented with classic signs of canaliculitis, including an inflamed upper canaliculus unresponsive to topical antibiotics.
  • Initial misdiagnosis as conjunctivitis led to delayed appropriate treatment in both cases.

Findings:

  • Surgical intervention involving canaliculotomy and curettage, followed by antibiotic therapy, resulted in complete resolution of symptoms in both patients.
  • While Actinomyces spp. was identified as expected in one case, Arcanobacterium haemolyticum was unexpectedly isolated in the second patient, who also responded to conventional treatment.

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Implications:

  • The findings underscore the importance of considering chronic canaliculitis in cases of persistent or recurrent conjunctivitis.
  • Effective treatment necessitates the complete removal of obstructive concretions, achieved through surgical or mechanical means, to ensure definitive cure.