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 pat...

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Bibliographic Details
Published in:Acta Ophthalmologica
Main Authors: Baldursdóttir, Eyrún, Sigurdsson, Haraldur, Jónasson, Lárus, Gottfredsson, Magnús
Format: Article in Journal/Newspaper
Language:English
Published: Wiley 2010
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Online Access:http://dx.doi.org/10.1111/j.1755-3768.2008.01367.x
https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1755-3768.2008.01367.x
https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1755-3768.2008.01367.x
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Summary: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.