|Title||Canalicular Antibiotic Ointment Loading: Primary Management option for management of Canaliculitis|
|Submitted by||Sonam Nisar|
|Review Result||rapid fire presentation|
To study the outcomes of intracanalicular ointment loading as an outpatient (OP) procedure for management of primary canaliculitis.
This is a prospective, non randomized, minimally invasive case series. Patient demographics, clinical presentations, microbiological profile and clinical outcomes were evaluated. Based on the sensitivity, suitable antibiotic ointment was taken into a 1ml syringe and loaded into the affected canaliculus through 23 gauge blunt cannula (Ciprofloxacin 0.3%, Moxifloxacin 0.5%, or Tobramycin eye ointment 0.3%).
Outcome measures: Complete resolution of canaliculitis with patency of the lacrimal passage.
A total of 24 patients were included in the study, which showed a female preponderance (62.5%, p=0.0424). Mean duration of symptoms was 13.05±14.04 months (range 0.167- 60 months. The incidence of lower canaliculus involvement (14, 58.33%, p=0.022) was significantly higher as compared to the upper (8, 33.33%).
Four patients (16.67%) showed polymicrobial growth on culture, whereas a single organism was identified in 20, 83.33% (p=0.005) cases. Staphylococcus epidermidis and actinomyces israelii (6, 25%) were the most commonly isolated organisms followed by corynebacterium species (4, 16.67%). Mean number of intra canalicular antibiotic loading sessions required was 4.21±1.69 (range 2-8).
Canalicular ointment loading is a safe, minimally invasive procedure that can easily be done as an outpatient procedure and may obviate the need for interventions like canaliculotomy in cases of recalcitrant canaliculitis.
|Last name||Initials||City / Hospital||Department|
|Alam||Shahid||Kolkata / Sankara Nethralaya||Orbit and Oculoplasty|
|Mukherjee||Bipasha||Chennai/ Sankara Nethralaya||Orbit and Oculoplasty|