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Pediatric Canaliculitis: A Case Report

Elif Eraslan Yusufoğlu1, Sabiha Güngör Kobat1

  • 1Elazığ Training and Research Hospital, Ophthalmology Clinic, Elazığ, Turkey

Turkish Journal of Ophthalmology
|May 6, 2019
PubMed

Insights

Canaliculitis, a rare eye condition, was diagnosed in a child presenting with persistent eyelid swelling and discharge. Surgical removal of dacryoliths caused by Actinomyces infection led to a full recovery.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Canaliculitis is a rare lacrimal system infection, typically affecting older adults.
  • Pediatric cases are exceptionally uncommon, often presenting with non-specific symptoms like eyelid swelling and discharge.
  • Delayed diagnosis and treatment can lead to disease relapse.

Purpose of the Study:

  • To report a rare pediatric case of canaliculitis.
  • To highlight the diagnostic challenges and successful treatment of pediatric canaliculitis.
  • To identify the causative agent and confirm treatment efficacy.

Main Methods:

  • Clinical presentation of a 12-year-old girl with chronic right lower eyelid swelling and discharge.
  • Physical examination revealing a "pouting punctum" and purulent discharge upon lacrimal sac pressure.
  • Diagnostic lacrimal lavage and subsequent punctoplasty with surgical curettage of dacryoliths.
  • Histopathological analysis of dacryoliths to identify the infectious agent.

Main Results:

  • The patient was diagnosed with canaliculitis, a rare condition in children.
  • Surgical intervention (punctoplasty and curettage) successfully removed the dacryoliths.
  • Histopathology identified *Actinomyces* as the causative agent.
  • The patient experienced no recurrence or complications during a 12-month follow-up period.

Conclusions:

  • Canaliculitis, though rare in children, should be considered in pediatric patients with persistent eyelid symptoms.
  • Prompt diagnosis and surgical management, including dacryolith removal, are crucial for successful treatment.
  • *Actinomyces* is a potential causative agent in pediatric canaliculitis.

Keywords:
CanaliculitispunctoplastycurettageActinomyces

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