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Canaliculite cr?nica supurativa - aspectos clínicos e terapêuticos: relato de 3 casos

DOI: 10.1590/S0004-27492011000600012

Keywords: dacryiocystitis [microbiology], dacryiocystitis [diagnosis], lacrimal apparatus diseases [diagnosis], lacrimal apparatus diseases [drug therapy], eye infections, bacterial [drug therapy], actinomyces [isolation & purification], cefazolin [therapeutic use], curettage, humans, male, female, adult, aged, case reports.

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Abstract:

lacrimal canaliculitis is a rare disease caused mainly by actinomyces israelii. it should be regarded as a differential diagnosis of recurrent chronic conjunctivitis. the purpose of this study was to report 3 cases of chronic suppurative canaliculitis and different treatment options. the first patient presented with an upper left canaliculitis and was treated with a canaliculotomy. nevertheless, he had an ipsilateral lower canaliculitis after 6 months and underwent intracanalicular injections of fortified cefazolin with complete remission. the second patient presented with a lower left canaliculitis and underwent a canaliculotomy. the third patient had a lower left canaliculitis and underwent intracanalicular injections of fortified cefazolin. both achieved complete remission. the present article demonstrated that intracanalicular irrigation of fortified cefazolin may be a helpful treatment of chronic suppurative canaliculitis with mild symptoms and signs. the most important benefit of this approach is to avoid injury to the lacrimal canaliculus.

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