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Dacryoendoscopy-guided re-canalization of canaliculops: Two case reports.
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- Additional Information
- Source:
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
- Publication Information:
Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
- Subject Terms:
- Abstract:
Rationale: Canaliculops is a rare condition, and only 11 cases have been reported previously. We report 2 cases of canaliculops, which were successfully treated using the new recanalization technique under dacryoendoscopy followed by bicanalicular lacrimal intubation.
Patient Concerns: A 78-year-old man and a 76-year-old woman had 3- and 1-year histories of medial-upper eyelid swelling (left and right, respectively) without any inflammatory signs, history of periocular trauma, herpes infection, use of specific drugs, or ophthalmic diseases of note.
Diagnoses: The cystic lesions were evaluated using ultrasound biometry or computed tomography to find the lumen of the horizontal canaliculus was exceedingly expanded, and to confirm the clinical diagnosis of canaliculops.
Interventions: As the 2 cases of canaliculops were caused by upper puncta and common canaliculus obstructions, canaliculops of the upper eyelid were recanalized under dacryoendoscopic guidance, followed by bicanalicular intubation. The tubes were kept in situ involving bi-weekly irrigation and instillation of antibiotic and anti-inflammatory eye drops, and were removed after 2 to 3 months of follow-up.
Outcomes: Epiphora, and eyelid swelling were completely resolved immediately after the procedure, and the lesions did not recur on follow-up after more than 6 months.
Lessons: Eleven case series of canaliculops have been described previously, but this is the first report of this recanalization procedure offering a new, less invasive treatment option compared to complete or partial resection of the cystic lesion.
Competing Interests: The authors have no funding and conflicts of interest to disclose.
(Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- References:
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Ramyil AV, Gupta S, Ali MJ, et al. Bicanalicular canaliculops and its dacryoendoscopic findings. Ophthalmic Plast Reconstr Surg 2018;34:e45–6.
Mimura M, Ueki M, Oku H, et al. Indications for and effects of Nunchaku-style silicone tube intubation for primary acquired lacrimal drainage obstruction. Jpn J Ophthalmol 2015;59:266–72.
Sasaki T, Sounou T, Sugiyama K. Dacryoendoscopic surgery and tube insertion in patients with common canalicular obstruction and ductal stenosis as a frequent complication. Jpn J Ophthalmol 2009;53:145–50.
- Publication Date:
Date Created: 20210317 Date Completed: 20210329 Latest Revision: 20230103
- Publication Date:
20230104
- Accession Number:
PMC7969210
- Accession Number:
10.1097/MD.0000000000024985
- Accession Number:
33725869
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