Canaliculitis

Definition: Inflammation of the lacrimal canaliculi with ‘pyogenic organism, (trachoma, specific organism or fungs.
Commonest cause is mycotic canaliculitis, caused by actinomyces Israeli.
Symptoms: Persistent epiphora, not responding to treatment.
Signs:
• Chronic conjunctivitis, most marked at the medial canthus.
• Prominent & dilated lacrimal punctum (Patulous).
• Regurgitation test: Muco-purulent discharge which may concretions.
Treatment:
Canaliculotomy: Slit the posterior wall of the canaliculus, curettage of the fungal masses & irrigation with slaine.