Long-term Outcome of Incision and Curettage Treatment in Patients with Lacrimal Gland Ductulitis
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Purpose: To describe the effects and long-term outcomes of incision and curettage treatment in patients withlacrimal gland ductulitis. Methods: Twenty-four patients (24 eyes) with lacrimal gland ductulitis who were treated at Saevit Eye Hospitalfrom June 2010 to November 2016. All patients underwent incision and curettage through the lacrimal ductule,and granules or concretions were removed. After the procedure, oral and topical antibiotics, oral anti-inflammatoryagent were used for a week. Clinical presentations of the patients were analyzed. The resolution ofsymptoms and inflammatory signs and recurrence were evaluated more than 12 months after the procedureincluding telephone follow-up by a specialist nurse. Results: Common symptoms were a painful, swelling mass with mucous discharge (17 eyes) and conjunctivalinjection (7 eyes) at the lateral canthal area. During the procedure, 22 patients (91.7%) had typical sulfur granuleof Actinomyces, and 10 patients (41.7%) had many cilia in the expressed debris from the ductule. Twenty-three of 24 patients had resolution of symptoms after the procedure and all but one patient (95.8%) showedno recurrence. Conclusions: Incision and curettage is a simple and less invasive procedure that may be considered as a firsttreatment option for lacrimal gland ductulitis. Furthermore, incision and curettage of the affected lacrimal ductulehas been shown to be effective at minimizing long-term recurrence of lacrimal ductulitis.
Abstract
Purpose: To describe the effects and long-term outcomes of incision and curettage treatment in patients withlacrimal gland ductulitis. Methods: Twenty-four patients (24 eyes) with lacrimal gland ductulitis who were treated at Saevit Eye Hospitalfrom June 2010 to November 2016. All patients underwent incision and curettage through the lacrimal ductule,and granules or concretions were removed. After the procedure, oral and topical antibiotics, oral anti-inflammatoryagent were used for a week. Clinical presentations of the patients were analyzed. The resolution ofsymptoms and inflammatory signs and recurrence were evaluated more than 12 months after the procedureincluding telephone follow-up by a specialist nurse. Results: Common symptoms were a painful, swelling mass with mucous discharge (17 eyes) and conjunctivalinjection (7 eyes) at the lateral canthal area. During the procedure, 22 patients (91.7%) had typical sulfur granuleof Actinomyces, and 10 patients (41.7%) had many cilia in the expressed debris from the ductule. Twenty-three of 24 patients had resolution of symptoms after the procedure and all but one patient (95.8%) showedno recurrence. Conclusions: Incision and curettage is a simple and less invasive procedure that may be considered as a firsttreatment option for lacrimal gland ductulitis. Furthermore, incision and curettage of the affected lacrimal ductulehas been shown to be effective at minimizing long-term recurrence of lacrimal ductulitis.
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