摘要
原文 | 英語 |
---|---|
頁(從 - 到) | 759-763 |
頁數 | 5 |
期刊 | Acta Ophthalmologica |
卷 | 89 |
發行號 | 8 |
DOIs | |
出版狀態 | 已發佈 - 十二月 2011 |
指紋
ASJC Scopus subject areas
- Ophthalmology
引用此文
Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. / Lin, Shuai Chun; Kao, Shu Ching; Tsai, Chieh Chih; Cheng, Ching Yu; Kau, Hui Chuan; Hsu, Wen Ming; Lee, Shu Mei.
於: Acta Ophthalmologica, 卷 89, 編號 8, 12.2011, p. 759-763.研究成果: 雜誌貢獻 › 文章
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TY - JOUR
T1 - Clinical characteristics and factors associated the outcome of lacrimal canaliculitis
AU - Lin, Shuai Chun
AU - Kao, Shu Ching
AU - Tsai, Chieh Chih
AU - Cheng, Ching Yu
AU - Kau, Hui Chuan
AU - Hsu, Wen Ming
AU - Lee, Shu Mei
PY - 2011/12
Y1 - 2011/12
N2 - Purpose: To analyze the clinical and microbiological characteristics and factors associated with the outcome of lacrimal canaliculitis. Methods: Thirty four patients (34 eyes) treated for lacrimal canaliculitis between January 2001 and December 2006 in a tertiary medical centre were retrospectively reviewed. Clinical and microbiological profiles, treatment outcome, and risk factors related to recurrence and concretions formation were evaluated. Results: There were 10 males and 24 females with a mean age of 64 years. The average time lapse to diagnosis was 18 months. Lower canaliculus (91%) was most commonly involved. Six patients (18%) had both upper and lower canaliculitis. Culture positive specimens were 21 of 25 (84%), with a mixed infection of 7 (28%). Streptococcus species (28%), Staphylococcus species (20%), and Actinomyces (16%) were the most commonly cultured organisms. Concretions were noted in nine patients (26%). All cultures of concretions were positive. No specific factor was found to be related to concretions formation. Canaliculotomy was performed in 25 patients (74%). Recurrence developed in seven patients (21%), with a mean time to recurrence of 24 months. Multivariate analysis demonstrated that male patients (p = 0.038) and presence of concretions (p = 0.001) were associated with higher recurrent rate. Both patients with Haemophilus influenzae isolate developed recurrence (100%). Conclusion: Canaliculitis are often delayed diagnosed and prone to recur or persist. Male gender and concretions are important risk factors for recurrence. Surgical removal of all possible concretions is essential for cure.
AB - Purpose: To analyze the clinical and microbiological characteristics and factors associated with the outcome of lacrimal canaliculitis. Methods: Thirty four patients (34 eyes) treated for lacrimal canaliculitis between January 2001 and December 2006 in a tertiary medical centre were retrospectively reviewed. Clinical and microbiological profiles, treatment outcome, and risk factors related to recurrence and concretions formation were evaluated. Results: There were 10 males and 24 females with a mean age of 64 years. The average time lapse to diagnosis was 18 months. Lower canaliculus (91%) was most commonly involved. Six patients (18%) had both upper and lower canaliculitis. Culture positive specimens were 21 of 25 (84%), with a mixed infection of 7 (28%). Streptococcus species (28%), Staphylococcus species (20%), and Actinomyces (16%) were the most commonly cultured organisms. Concretions were noted in nine patients (26%). All cultures of concretions were positive. No specific factor was found to be related to concretions formation. Canaliculotomy was performed in 25 patients (74%). Recurrence developed in seven patients (21%), with a mean time to recurrence of 24 months. Multivariate analysis demonstrated that male patients (p = 0.038) and presence of concretions (p = 0.001) were associated with higher recurrent rate. Both patients with Haemophilus influenzae isolate developed recurrence (100%). Conclusion: Canaliculitis are often delayed diagnosed and prone to recur or persist. Male gender and concretions are important risk factors for recurrence. Surgical removal of all possible concretions is essential for cure.
KW - canaliculitis
KW - concretion
KW - outcome
KW - recurrence
UR - http://www.scopus.com/inward/record.url?scp=82155191341&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=82155191341&partnerID=8YFLogxK
U2 - 10.1111/j.1755-3768.2009.01827.x
DO - 10.1111/j.1755-3768.2009.01827.x
M3 - Article
C2 - 20064116
AN - SCOPUS:82155191341
VL - 89
SP - 759
EP - 763
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 8
ER -