| OP F-004 |
| Application of lacrimal endoscopy on diagnosing Lacrimal canalicular diverticulum and calculus caused by Actinomyces |
| Henan Eye Institute, Henan Eye Hospital; The Ophthalmology Department of Henan Provincial People's Hospital |
| Qing Hui-ling)(1) ,Zhang Jun-ge(2) , Yang Hui-li(3), Gao Ming-li(4), Ma Yan-ling(5) |
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Purpose : To review and evaluate specific risk factors and how the clinical features related to primary canaliculitis with Lacrimal canalicular diverticulum and calculus who undergo lacrimal endoscopy.
Methods : This retrospective study included 3 cases with primary canaliculitis with calculus between April 2010 and January 2016 at Henan Eye Hospital, Henan Eye Institute. They were examined and underwent by lacrimal endoscopy, and canaliculoplasty using double-passage intubation was performed using silicone stents. The contents were sent for microbiological and histopathological examination. Patients charts were reviewed for clinical features, microbiological profiles, treatment outcomes(Table1). The median follow-up times was over 1 year.
Results : There were 2 females and 1 male with a mean age of 61.67 years. The average time lapse to diagnosis was 4.33 years. 2 cases had upper canaliculitis, 1 case had lower canaliculitis. Before lacrimal endoscopy was performed, 3 cases were treated with various antibiotics. Lacrimal canalicular diverticulum were identified under lacrimal endoscopy. The results we observed along the anterior wall of the canaliculus. There were showed lid canalicular diverticulum of the lacrimal canaliculus and large canalicular dilation and multiple sulphur granules( as calculus) within the canaliculus. Canalicular dilation was narrowed and canaliculoplasty using double-passage intubation was performed using silicone stents. Actinomyces were identified on the anaerobic blood agar plate. Histological examination of the calculus revealed typical branching and filamentous organisms confirming the diagnosis of cast-forming Actinomyces canaliculitis.
Conclusion : The most effective approach is to treat under lacrimal endoscopy related to primary canaliculitis, it is essential for a cure the surgical removal of all concretions, and the observation of lacrimal duct mucosa also helps clinicians to more accurately diagnose and select the most appropriate individual treatment options for patients. In addition, Canalicular dilation was narrowed by a canaliculoplasty using double-passage intubation was performed using silicone stents. It plays an important role in the further treatment
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