Canaliculitis

The canaliculitis is the inflammation of a Tränenkanälchens.

The canaliculitis is the inflammation of a Tränenkanälchens. Anatomy of the lacrimal system. Etiology The most common cause of canaliculitis is an infection with Actinomyces israelii, a Gram-positive bacterium with finely branched filaments. But other bacteria, fungi (eg. As Candida albicans) and viruses (eg. As herpes simplex virus) can cause canaliculitis. An increasingly common cause of canaliculitis is a einbehaltenes punctum plug (used to treat dry eyes), which has migrated from the punctum into the canaliculus. Symptoms and discomfort symptoms and clinical signs are epiphora, secretion, red eye (especially nasal) and a light touch sensitivity of the affected side. Diagnosis Clinical Investigation The diagnosis is based on the relevant symptoms and complaints and is also to be assumed when can express cloudy secretions from the lacrimal sac and canaliculus by pressure and when a grain of sand feeling that is caused by necrotic material while probing the Tränenwegsystems is , The canaliculitis can be distinguished from a Dakryozystitis differential diagnosis. In a canaliculitis the lacrimal punctum and canaliculus of the red and swollen, while the lacrimal punctum and the canaliculus are normal at a dacryocystitis, but a red, swollen, painless node is located in or near the lacrimal sac. Sometimes therapy Supportive measures (z. B. warm compresses) antibiotics to remove stones or foreign bodies surgery Therapy of canaliculitis consists in warm compresses, the flushing of the canaliculus with an antibiotic solution (by an ophthalmologist) and the removal of calculi or foreign bodies what usually require surgery ist.p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: Arial 13.0px; color: # 6a6a6a; -webkit-text-stroke: # 6a6a6a} span.s1 {font-kerning: none} The antibiotic is generally chosen empirically with a first generation cephalosporin or penicillin penicillinaseresistentes synthetic, but it can also be used lavage. Key points Common causes of Canaliculitis are infections or retained “punctal plugs”. Patients often have epiphora, secretion, red eye (especially nasal) and a light touch sensitivity of the affected side. On examination secretions can be expressed when pressure on the lacrimal sac and lacrimal duct is exerted and a sandy feeling is felt by the patient when the lacrimal system is probed. Treatment includes supportive measures, such as compresses, antibiotics and sometimes surgery.

Health Life Media Team

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