Cargando…

Necrotizing canaliculitis: A case report and review of the literature

Canaliculitis is defined as infection of the canalicular part of the lacrimal system. Despite usual presenting clinical characteristics such as pouting of the lacrimal punctum, discharge, and redness at the medial canthus area, it is usually misdiagnosed and overlooked. The presence of punctal ulcer...

Descripción completa

Detalles Bibliográficos
Autores principales: Sheikh, Osama Al, Thaqib, Rawan Al, Sulaiman, Naif Al, Al-Sharif, Eman M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116106/
https://www.ncbi.nlm.nih.gov/pubmed/35601846
http://dx.doi.org/10.4103/SJOPT.SJOPT_110_21
_version_ 1784710055583547392
author Sheikh, Osama Al
Thaqib, Rawan Al
Sulaiman, Naif Al
Al-Sharif, Eman M.
author_facet Sheikh, Osama Al
Thaqib, Rawan Al
Sulaiman, Naif Al
Al-Sharif, Eman M.
author_sort Sheikh, Osama Al
collection PubMed
description Canaliculitis is defined as infection of the canalicular part of the lacrimal system. Despite usual presenting clinical characteristics such as pouting of the lacrimal punctum, discharge, and redness at the medial canthus area, it is usually misdiagnosed and overlooked. The presence of punctal ulceration and tissue necrosis is an uncommon presentation in these patients. We report a case of a 35-year-old female with a 3-day history of left lower eyelid medial swelling, tenderness, and discharge. She was found to have left lower eyelid diffuse conjunctival injection and swelling involving the lower lacrimal punctum with whitish necrotic tissue. The patient was taken to the minor treatment room and debridement of the necrotic tissue was done and swabs were taken for culture and sensitivity. The punctum was found to be open with deroofing of the proximal canalicular system due to the severe nature of the infection; this was followed by irrigation using moxifloxacin and povidone-iodine. The patient was started on systemic antibiotics, topical antibiotic eye drops, and povidone-iodine sticks to clean the affected area. Few days later, the microbiology results revealed infection by Pseudomonas aeruginosa, and the patient was improving gradually until she had complete resolution of the infection.
format Online
Article
Text
id pubmed-9116106
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-91161062022-05-19 Necrotizing canaliculitis: A case report and review of the literature Sheikh, Osama Al Thaqib, Rawan Al Sulaiman, Naif Al Al-Sharif, Eman M. Saudi J Ophthalmol Case Report Canaliculitis is defined as infection of the canalicular part of the lacrimal system. Despite usual presenting clinical characteristics such as pouting of the lacrimal punctum, discharge, and redness at the medial canthus area, it is usually misdiagnosed and overlooked. The presence of punctal ulceration and tissue necrosis is an uncommon presentation in these patients. We report a case of a 35-year-old female with a 3-day history of left lower eyelid medial swelling, tenderness, and discharge. She was found to have left lower eyelid diffuse conjunctival injection and swelling involving the lower lacrimal punctum with whitish necrotic tissue. The patient was taken to the minor treatment room and debridement of the necrotic tissue was done and swabs were taken for culture and sensitivity. The punctum was found to be open with deroofing of the proximal canalicular system due to the severe nature of the infection; this was followed by irrigation using moxifloxacin and povidone-iodine. The patient was started on systemic antibiotics, topical antibiotic eye drops, and povidone-iodine sticks to clean the affected area. Few days later, the microbiology results revealed infection by Pseudomonas aeruginosa, and the patient was improving gradually until she had complete resolution of the infection. Wolters Kluwer - Medknow 2021-11-17 /pmc/articles/PMC9116106/ /pubmed/35601846 http://dx.doi.org/10.4103/SJOPT.SJOPT_110_21 Text en Copyright: © 2021 Saudi Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sheikh, Osama Al
Thaqib, Rawan Al
Sulaiman, Naif Al
Al-Sharif, Eman M.
Necrotizing canaliculitis: A case report and review of the literature
title Necrotizing canaliculitis: A case report and review of the literature
title_full Necrotizing canaliculitis: A case report and review of the literature
title_fullStr Necrotizing canaliculitis: A case report and review of the literature
title_full_unstemmed Necrotizing canaliculitis: A case report and review of the literature
title_short Necrotizing canaliculitis: A case report and review of the literature
title_sort necrotizing canaliculitis: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116106/
https://www.ncbi.nlm.nih.gov/pubmed/35601846
http://dx.doi.org/10.4103/SJOPT.SJOPT_110_21
work_keys_str_mv AT sheikhosamaal necrotizingcanaliculitisacasereportandreviewoftheliterature
AT thaqibrawanal necrotizingcanaliculitisacasereportandreviewoftheliterature
AT sulaimannaifal necrotizingcanaliculitisacasereportandreviewoftheliterature
AT alsharifemanm necrotizingcanaliculitisacasereportandreviewoftheliterature