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Article

Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

by
Jens Julian Storp
1,*,†,
Julian Alexander Zimmermann
1,†,
Eliane Luisa Esser
1,
Martin Dominik Leclaire
1,
Nicole Eter
1,
Maged Alnawaiseh
2,
Ralph-Laurent Merté
1 and
Nataša Mihailovic
1,2
1
Department of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, Germany
2
Department of Ophthalmology, Klinikum Fulda gAG, University of Marburg, Campus Fulda, 36043 Fulda, Germany
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this study.
J. Clin. Med. 2022, 11(22), 6830; https://doi.org/10.3390/jcm11226830
Submission received: 12 October 2022 / Revised: 31 October 2022 / Accepted: 16 November 2022 / Published: 18 November 2022
(This article belongs to the Section Ophthalmology)
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Abstract

As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canaliculitis in a long-term follow-up setting. A total of 25 eyes of 25 patients with canaliculitis treated with canaliculotomy and STI at the University of Muenster Medical Center, Germany, from 2015 to 2021 were included in this study. Data analysis involved clinical symptoms, complications, duration of STI and rate of recurrence. Mean patient age was 63.7 ± 17.2 years. After a follow-up time of 3.7 ± 1.5 years, 88% of cases showed no recurrence of inflammation. The mean duration of STI was 5.8 ± 3.4 months. Complications such as post-operative hemorrhage, spread of infection, obstruction of the canaliculus or migration of the STI were not observed in any of the patients. However, tube dislocation occurred in four cases, a pyogenic granuloma in two cases and a fistula formation in one case. The management of canaliculitis by canaliculotomy with STI showed very good postoperative outcomes and low complication rates in the long-term and can therefore be considered a safe and successful surgical approach.
Keywords: canaliculitis; canaliculus; nasolacrimal duct obstruction; dacryoliths; actinomycetes; lacrimal duct concretions canaliculitis; canaliculus; nasolacrimal duct obstruction; dacryoliths; actinomycetes; lacrimal duct concretions

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MDPI and ACS Style

Storp, J.J.; Zimmermann, J.A.; Esser, E.L.; Leclaire, M.D.; Eter, N.; Alnawaiseh, M.; Merté, R.-L.; Mihailovic, N. Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis. J. Clin. Med. 2022, 11, 6830. https://doi.org/10.3390/jcm11226830

AMA Style

Storp JJ, Zimmermann JA, Esser EL, Leclaire MD, Eter N, Alnawaiseh M, Merté R-L, Mihailovic N. Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis. Journal of Clinical Medicine. 2022; 11(22):6830. https://doi.org/10.3390/jcm11226830

Chicago/Turabian Style

Storp, Jens Julian, Julian Alexander Zimmermann, Eliane Luisa Esser, Martin Dominik Leclaire, Nicole Eter, Maged Alnawaiseh, Ralph-Laurent Merté, and Nataša Mihailovic. 2022. "Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis" Journal of Clinical Medicine 11, no. 22: 6830. https://doi.org/10.3390/jcm11226830

APA Style

Storp, J. J., Zimmermann, J. A., Esser, E. L., Leclaire, M. D., Eter, N., Alnawaiseh, M., Merté, R.-L., & Mihailovic, N. (2022). Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis. Journal of Clinical Medicine, 11(22), 6830. https://doi.org/10.3390/jcm11226830

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