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Related Experiment Videos

[Actinomycotic lachrymal canaliculitis: a case report].

L Levecq1, P Eloy, M-C Nollevaux

  • 1Service d'Ophtalmologie, Université Catholique de Louvain, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgique. laurent.levecq@ofta.ucl.ac.be

Journal Francais D'Ophtalmologie
|February 9, 2006
PubMed
Summary

Chronic canaliculitis caused by Actinomyces species in a 62-year-old woman presented as persistent epiphora. Surgical removal of the Actinomyces cast via canaliculotomy effectively resolved the condition when other treatments failed.

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Area of Science:

  • Ophthalmology
  • Microbiology
  • Surgical Pathology

Background:

  • Unilateral chronic epiphora can significantly impact quality of life.
  • Persistent epiphora resistant to topical antibiotics suggests an underlying chronic infection or obstruction.
  • Actinomyces species are known pathogens but rarely implicated in chronic canaliculitis.

Observation:

  • A 62-year-old woman presented with chronic unilateral epiphora.
  • Prolonged topical antibiotic treatment was ineffective.
  • Cultures revealed Actinomyces species, and dacryocystorhinostomy failed to resolve symptoms.

Findings:

  • Canaliculotomy with the removal of a solid cast successfully treated the chronic canaliculitis.
  • Histological examination confirmed the presence of a solid Actinomyces cast.

Related Experiment Videos

  • This case highlights Actinomyces as a cause of recalcitrant chronic canaliculitis.

    • Implications:

    • Surgical intervention, specifically canaliculotomy, may be necessary for chronic canaliculitis caused by Actinomyces.
    • Accurate diagnosis through culture and histology is crucial for effective treatment planning.
    • This case expands the differential diagnosis for chronic epiphora resistant to conventional therapies.