Abstract
We present 7 cases of canalicular involvement with Actin-omyces collected over a 5-year period. All patients had involvement of one canaliculus, upper or lower, with lac-rimal drainage patent to syringing. Curettings obtained by incising the involved canaliculi yielded Actinomyces species (5 cases) and Arachnia propionica (2 cases), typically in association with a mixed bacterial growth. Our results show that these patients often remain undiag-nosed for months or even years, and are treated in-appropriately for their recurrent symptoms. Despite sensitivity of Actinomyces to a broad spectrum of antibiotics, medical therapy alone does not eradicate the disease, and surgical evacuation of all concretions is essential to achieve a cure.
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Hussain, I., Bonshek, R., Loudon, K. et al. Canalicular infection caused by Actinomyces. Eye 7, 542–544 (1993). https://doi.org/10.1038/eye.1993.118
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DOI: https://doi.org/10.1038/eye.1993.118
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