Actinomycotic canaliculitis: resolution following surgery and short topical antibiotic treatment.

Abstract:

PURPOSE:This study aimed to study the incidence and clinical characteristics of patients diagnosed with actinomycotic canaliculitis in Iceland. METHODS:We present a nationwide, retrospective case series for which cases were identified by searches of hospital diagnostic registries and pathology databases. Case histories were reviewed and histopathological analysis repeated to confirm the diagnosis. RESULTS:Nine cases of actinomycotic canaliculitis were diagnosed in Iceland during 1988-2007. Subjects included six women and three men and represented 16% of all patients diagnosed with actinomycosis in the country. The incidence was 0.16 cases/100 000 inhabitants/year. Age-specific incidence rates were 0.59 cases/100 000 inhabitants/year for the 40-59-year-old age group and 1.37 cases/100 000 inhabitants/year for individuals aged 60-79 years. All patients underwent a three-way snip procedure and 1 week of topical antibacterial therapy. CONCLUSIONS:Actinomycotic canaliculitis is an uncommon condition which frequently eludes diagnosis. Topical antibiotics for 1 week may be sufficient following surgery, a finding which contrasts with previous reports.

journal_name

Acta Ophthalmol

journal_title

Acta ophthalmologica

authors

Baldursdóttir E,Sigurdsson H,Jónasson L,Gottfredsson M

doi

10.1111/j.1755-3768.2008.01367.x

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

367-70

issue

3

eissn

1755-375X

issn

1755-3768

pii

AOS1367

journal_volume

88

pub_type

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