만성 누소관염의 임상양상과 치료 = Diagnosis and Treatment of Chronic Canaliculitis

다국어 초록 (Multilingual Abstract)

Purpose: To report on the clinical manifestations, species and treatments of patients with chronic canaliculitis. Methods: From August 2003 to February 2012, 77 eyes of 77 patients who were diagnosed with chronic canaliculitis at our hospital were retrospectively analyzed. Results: The mean period from the onset of symptoms to diagnosis was 4.7 months. The most common systemic disease associated with chronic canaliculitis was diabetes (18 eyes, 23%), and 13 eyes (17%) were related to punctual plug insertion. Main symptoms consisted of epiphora with discharge and pouting punctum. In the culture results of 55 eyes, streptococci, staphylococci, and actinomyces among other bacteria were identified. Seventy-two eyes (94%) were cured with one-snip punctoplasty with curettage. Conclusions: Chronic canaliculitis is rare, and the clinical aspect can be obscured by chronic conjunctivitis, thus the diagnosis is often delayed. In patients who have systemic diseases such as diabetes or past history of punctual plug insertion, chronic canaliculitis should be differentiated by observing the punctum more closely. If the diagnosis is accurate at the time, chronic canaliculitis could be easily cured by a relatively simple procedure such as one-snip punctoplasty with curettage.

참고문헌 (Reference)

1 임동권, "헤릭 눈물점 마개에 의한 만성 육아종성 눈물소관염 1예" 대한안과학회 46 (46): 25-25, 2005

2 이민정, "스마트 눈물점마개 삽입 후 발생한 눈물소관염의 임상양상과 치료" 대한안과학회 50 (50): 821-825, 2009

3 장지훈, "눈물점 마개 사용 후 발생한 합병증의 치험 증례" 대한안과학회 46 (46): 23-23, 2005

4 Hong JW, "Two cases of chronic canaliculitis" 31 : 1096-1102, 1990

5 Pavilack MA, "Thorough curettage in the treatment ofchronic canaliculitis" 110 : 200-202, 1992

6 Chen SX, "SmartPlug in the management of severe dry eye syndrome" 26 : 534-538, 2007

7 안성민, "SmartPLUG와 연관된 눈물소관염의 치료" 대한안과학회 50 (50): 1768-1773, 2009

8 Zaldivar RA, "Primary canaliculitis" 25 : 481-484, 2009

9 Freedman JR, "Primary and secondary lacrimal canaliculitis: a review of literature" 56 : 336-347, 2011

10 Lee MJ, "One-snip punctoplasty and canalicular curettage through the punctum: a minimally invasive surgical procedure for primary canaliculitis" 116 : 2027-2030, 2009

11 SmartPlug Study Group, "Management of complications after insertion of the SmartPlug punctal plug: a study of 28 patients" 113 : 1859-, 2006

12 Mohan ER, "Intracanalicular antibiotics may obviate the need for surgical management of chronic suppurative canaliculitis" 56 : 338-340, 2008

13 White WL, "Iatrogenic complications related to the use of Herrick lacrimal plugs" 108 : 1835-1837, 2001

14 Kim SD, "Diagnosis and therapy of canaliculitis" 39 : 2207-2210, 1998

15 Nelson CC, "Complications of Freeman plugs" 109 : 923-924, 1991

16 Lee J, "Complications associated with silicone intracanalicula plugs" 17 : 465-469, 2001

17 Lin SC, "Clinical characteristics and factors associated the outcome of lacrimal canaliculitis" 89 : 759-763, 2011

18 Vécsei VP, "Canaliculitis: Difficulties in diagnosis, differential diagnosis and comparison between conservative and surgical treatment" 208 : 314-317, 1994

19 Baldursdóttir E, "Actinomycotic canaliculitis: resolution following surgery and short topical antibiotic treatment" 88 : 367-370, 2010

20 Briscoe D, "Actinomyces canaliculitis: diagnosis of a masquerading disease" 242 : 682-686, 2004

21 Varma D, "A case series on chronic canaliculitis" 24 : 11-14, 2005