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February 1992

Thorough Curettage in the Treatment of Chronic Canaliculitis

Author Affiliations

From the Department of Ophthalmology, W. K. Kellogg Eye Center, University of Michigan, Ann Arbor. Dr Pavilack is now with the Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Mass.

Arch Ophthalmol. 1992;110(2):200-202. doi:10.1001/archopht.1992.01080140056026

• While various techniques have been proposed for the treatment of canaliculitis, there have been no published series that evaluate the efficacy of simple curettage in the treatment of persistent or recurrent canaliculitis. We report the effectiveness of thorough, simple curettage (without canaliculotomy) in 11 patients with chronic canaliculitis. All patients had a history of canaliculitisrelated symptoms for a minimum of 6 months and clinically detectable canalicular concretions before initial treatment. Thorough, simple curettage (without canaliculotomy) resolved the chronic canaliculitis in all of the patients. Ten of the 11 patients were cured with a maximum of two sessions of curettage. One patient required three treatments of curettage and silicone intubation for common canalicular narrowing to render her free of symptoms. No surgical complications occurred in any of the patients. Our report confirms the effectiveness and low morbidity of thorough curettage in the treatment of persistent or recurrent cases of canaliculitis.

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