Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
Rapti Eye Hospital, Dang, Nepal.
Orbit. 2022 Oct;41(5):653-656. doi: 10.1080/01676830.2021.1918180. Epub 2021 May 2.
A 73-year-old woman presented to our hospital with a 1-year history of epiphora associated with discharge on the left eye. On the first examination, there was a swelling in the medial part of the left lower eyelid associated with a cystic change along the lacrimal canaliculus. On digital compression, there was an expression of a yellow mucopurulent discharge from the left-lower punctum. A culture test of the discharge showed (1+), (1+), (1+), and (2+). Complete removal of the canaliculoliths was done with a curette. Dacryoendoscopic examination showed a substantially dilated horizontal canaliculus accompanied with granulation and fibrous tissues on the left-lower side. An ofloxacin ointment-coated bicanalicular tube was inserted. Also, an oral antibiotic was administered for 14 days after surgery. At a 3-month follow-up, the patient did not have any symptoms associated with canaliculitis.
一位 73 岁女性因左眼溢泪伴分泌物 1 年就诊于我院。初次检查时，左眼下眼睑内侧肿胀，伴有沿泪小管的囊性改变。行泪道挤压时，左眼下泪小点处有黄色脓性分泌物溢出。分泌物的培养试验显示 (1+)、 (1+)、 (1+)和 (2+)。使用镰状刮匙彻底清除了泪小管结石。泪道内镜检查显示左侧下泪道明显扩张，伴有肉芽组织和纤维组织。插入了涂有氧氟沙星眼膏的双泪小管管。此外，术后还给予患者口服抗生素治疗 14 天。3 个月随访时，患者无任何与泪道炎相关的症状。
