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Outcomes of the squeezing procedure
Source publication
To report the therapeutic effect of squeezing the punctum and lacrimal canaliculus using Q-tips in canaliculitis patients.
Similar publications
Citations
... Lee et al. [6] reported that one-snip punctoplasy and canalicular curettage through the punctum had a success rate of 83.3%. Lee et al. [7] reported squeezing the punctum and lacrimal canaliculus using cotton tips, while Kim et al. [8] reported using a four-snip punctoplasty and canalicular curettage for recurrent primary canaliculitis. In this study, we will be reporting our results with the one-snip punctoplasty and irrigation technique, which includes a punctal dilatation and one-snip punctoplasty procedure, compression of the canaliculus to express the sulphur granules, and irrigation with an 18-gauge irrigation tip while compressing the medial canthus. ...
... Lee et al. [7] reported that only squeezing punctum and lacrimal canaliculi using cotton tips is an effective treatment for the canaliculitis with a success rate of 71.4% and without causing complications in the canalicular system. There were no complications with the lacrimal system associated with punctum and canaliculus because they did not perform curettage and manipulation of punctum such as punctoplasty and canaliculotomy. ...
Purpose:
Report the efficacy and safety of one-snip punctoplasty and 18-gauge irrigation technique in patients with primary canaliculitis.
Method:
All patients diagnosed with primary canaliculitis between January 2020 and August 2021 at Inje University of Busan Paik 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 evaluated 3 weeks after the procedure.
Results:
11 patinets (8 women and 3 men, 14 canaliculi) aged 34 to 82 with a mean age of 63.8 ± 15.7 years were participated and common symptoms were epiphora, mucopurulent discharge, injection and common signs were discharge from punctum, pouting punctum, punctal erythema and swellling. Among 14 canaliculi, 12(85.7%) had complete resolution and 2 underwent second treatment which showed completed resolution after the treatment.
Conclusion:
One-snip punctoplasty and 18-gauge irrigation technique are minimally invasive to punctum and canaliculi and are a highly effective surgical procedure for patients with primary canaliculitis.
Lacrimal canaliculitis is an inflammation of the proximal lacrimal drainage system. It classically presents with symptoms of redness, mucopurulent discharge, medial canthal swelling, epiphora, and pouting punctum. Despite having classical clinical characteristics it is frequently misdiagnosed. The cause can be primarily due to various infectious agents or secondary mostly due to the use of punctal plugs. There are no universally accepted guidelines for the management of canaliculitis but different medical and surgical options have been employed with varying success rates and it is notorious for recurrences and failure to therapy. The present review summarizes the existing literature on lacrimal canaliculitis published over the past 15 years to provide an overview of this uncommon condition. A total of 100 articles published in the literature were anlaysed during this period. The mean age at diagnosis was 57.09 ± 16.91 years with a female preponderance. Misdiagnosis was common with many patients misdiagnosed as conjunctivitis and dacryocystitis. Primary canaliculitis was found to be more frequent than secondary with inferior canaliculus involved more commonly than the superior. Staphylococcus, Streptococcus, and Actinomyces were the most common microbes isolated. Surgical management was employed in 74.25% of cases while medical management was done in 20.82% of cases. The review presents an insight into the complexities of canaliculitis, its diagnosis, and management which will further help to improve the understanding of this uncommon infection of the lacrimal system.
