Canaliculitis in supernumerary puncta and canaliculi

We report the first case of supernumerary puncta and canaliculi presented with canaliculitis. A-59 year-old gentleman presented with painful swelling of the left lower lid for a week, which was associated with epiphora. The swelling was confined to the nasal aspect of the left lower lid (0.5¥0.5 mm)...

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Main Authors: Ku Chui Yong, Tan Aik Kah, Faridah Hanom Annuar
Format: Article
Language:English
Published: MDPI AG 2011-08-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/120
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author Ku Chui Yong
Tan Aik Kah
Faridah Hanom Annuar
author_facet Ku Chui Yong
Tan Aik Kah
Faridah Hanom Annuar
author_sort Ku Chui Yong
collection DOAJ
description We report the first case of supernumerary puncta and canaliculi presented with canaliculitis. A-59 year-old gentleman presented with painful swelling of the left lower lid for a week, which was associated with epiphora. The swelling was confined to the nasal aspect of the left lower lid (0.5¥0.5 mm) with inflamed overlying skin. Two puncta (0.5 mm apart) were noted. The outer punctum at the normal anatomical position was a cul-de-sac while the inner punctum it the caruncle was patent. We described the embryology leading to supernumerary puncta and canaliculi to explain the paradoxical patency of the abnormally located punctum as well as the pathomechanism leading to canaliculitis. The patient was treated with oral cloxacillin 500 mg, 6 hourly for 5 days; the cellulitis subsided after three days.
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spelling doaj.art-1b0acb996d8e4e62a773c21060765fd82022-12-22T04:20:31ZengMDPI AGClinics and Practice2039-72752039-72832011-08-011310.4081/cp.2011.e5956Canaliculitis in supernumerary puncta and canaliculiKu Chui Yong0Tan Aik Kah1Faridah Hanom Annuar2Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), CherasDepartment of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras; Department of Ophthalmology, Faculty of Medicine and Health Sciences, University Malaysia Sarawak (UNIMAS), KuchingDepartment of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), CherasWe report the first case of supernumerary puncta and canaliculi presented with canaliculitis. A-59 year-old gentleman presented with painful swelling of the left lower lid for a week, which was associated with epiphora. The swelling was confined to the nasal aspect of the left lower lid (0.5¥0.5 mm) with inflamed overlying skin. Two puncta (0.5 mm apart) were noted. The outer punctum at the normal anatomical position was a cul-de-sac while the inner punctum it the caruncle was patent. We described the embryology leading to supernumerary puncta and canaliculi to explain the paradoxical patency of the abnormally located punctum as well as the pathomechanism leading to canaliculitis. The patient was treated with oral cloxacillin 500 mg, 6 hourly for 5 days; the cellulitis subsided after three days.https://www.clinicsandpractice.org/index.php/cp/article/view/120supernumerary puncta and canaliculiepiphoracanaliculitis.
spellingShingle Ku Chui Yong
Tan Aik Kah
Faridah Hanom Annuar
Canaliculitis in supernumerary puncta and canaliculi
Clinics and Practice
supernumerary puncta and canaliculi
epiphora
canaliculitis.
title Canaliculitis in supernumerary puncta and canaliculi
title_full Canaliculitis in supernumerary puncta and canaliculi
title_fullStr Canaliculitis in supernumerary puncta and canaliculi
title_full_unstemmed Canaliculitis in supernumerary puncta and canaliculi
title_short Canaliculitis in supernumerary puncta and canaliculi
title_sort canaliculitis in supernumerary puncta and canaliculi
topic supernumerary puncta and canaliculi
epiphora
canaliculitis.
url https://www.clinicsandpractice.org/index.php/cp/article/view/120
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AT tanaikkah canaliculitisinsupernumerarypunctaandcanaliculi
AT faridahhanomannuar canaliculitisinsupernumerarypunctaandcanaliculi