Clinical Treatment Efficacy Using One-snip Punctoplasty and Irrigation Technique in Primary Canaliculitis Patients
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Purpose: This study aims to report the efficacy and safety of one-snip punctoplasty and 18-gauge irrigation technique in patientswith primary canaliculitis. Methods: All patients diagnosed with primary canaliculitis between January 2020 and August 2021 at Inje University BusanPaik Hospital are included. All patients underwent one-snip punctoplasty and 18-gauge irrigation technique. After the procedure,patients had topical antibiotics. The resolution of symptoms and inflammatory signs and complications were evaluated3 weeks after the procedure. Results: A total of 11 patients (eight female patients and three male patients, 14 canaliculi) aged 34 to 82 years with a meanage of 63.8 ± 15.7 years were participated. Common symptoms were epiphora, mucopurulent discharge, and injection, andcommon signs were discharge from punctum, pouting punctum, punctal erythema, and swellling. Among 14 canaliculi, 12(85.7%) had complete resolution and two underwent second treatment which showed completed resolution after the treatment. Conclusions: One-snip punctoplasty and 18-gauge irrigation technique are minimally invasive to punctum and canaliculi andare a highly effective surgical procedure for patients with primary canaliculitis.
Abstract
Purpose: This study aims to report the efficacy and safety of one-snip punctoplasty and 18-gauge irrigation technique in patientswith primary canaliculitis. Methods: All patients diagnosed with primary canaliculitis between January 2020 and August 2021 at Inje University BusanPaik Hospital are included. All patients underwent one-snip punctoplasty and 18-gauge irrigation technique. After the procedure,patients had topical antibiotics. The resolution of symptoms and inflammatory signs and complications were evaluated3 weeks after the procedure. Results: A total of 11 patients (eight female patients and three male patients, 14 canaliculi) aged 34 to 82 years with a meanage of 63.8 ± 15.7 years were participated. Common symptoms were epiphora, mucopurulent discharge, and injection, andcommon signs were discharge from punctum, pouting punctum, punctal erythema, and swellling. Among 14 canaliculi, 12(85.7%) had complete resolution and two underwent second treatment which showed completed resolution after the treatment. Conclusions: One-snip punctoplasty and 18-gauge irrigation technique are minimally invasive to punctum and canaliculi andare a highly effective surgical procedure for patients with primary canaliculitis.
참고문헌 (10)
- Demant E, "Canaliculitis : review of 12 cases", Can J Ophthalmol, 15, pp.73~75 (1980)
- Kaliki S, "Primary canaliculitis:clinical features, microbiological profile, and management outcome", Ophthalmic Plast Reconstr Surg, 28, pp.355~360 (2012)
- Vecsei VP, "Canaliculitis: difficulties in diagnosis, differential diagnosis and comparison between conservative and surgical treatment", Ophthalmologica, 208, pp.314~317 (1994)
- Zaldivar RA, "Primary canaliculitis", Ophthalmic Plast Reconstr Surg, 25, pp.481~484 (2009)
- Anand S, "Canaliculitis : the incidence of long-term epiphora following canaliculotomy", Orbit, 23, pp.19~26 (2004)
- Lee MJ, "One-snip punctoplasty and canalicular curettage through the punctum : a minimally invasive surgical procedure for primary canaliculitis", Ophthalmology, 116, pp.2027~2030 (2009)
- 이현규, "눈물소관염에서 절개 없이 압박에 의한 결석제거의 치료 효과", 대한안과학회지, 57(5), pp.700~704 (2016), 대한안과학회
- Kim MH, "A case report on complete cure of recurrent primary canaliculitis by 4-snip punctoplasty and canalicular curettage", Medicine (Baltimore), 97, pp.e13508~ (2018)
- Su Y, "Surgical procedure of canaliculoplasty in the treatment of primary canaliculitis associated with canalicular dilatation", BMC Ophthalmol, 20, pp.245~ (2020)
- Guercio B, "Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure", Orbit, 26, pp.15~18 (2007)