Canaliculitis in supernumerary puncta and canaliculi

  • Ku Chui Yong Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Malaysia.
  • Tan Aik Kah | portwinestain@hotmail.com Department 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), Kuching, Malaysia.
  • Faridah Hanom Annuar Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Malaysia.

Abstract

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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Author Biographies

Ku Chui Yong, Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras
Ophthalmology
Tan Aik Kah, Department 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), Kuching
Ophthalmology
Faridah Hanom Annuar, Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras
Ophthlamology
Published
2011-08-11
Section
Case Reports
Keywords:
supernumerary puncta and canaliculi, epiphora, canaliculitis.
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How to Cite
Chui Yong, K., Aik Kah, T., & Annuar, F. H. (2011). Canaliculitis in supernumerary puncta and canaliculi. Clinics and Practice, 1(3), e59. https://doi.org/10.4081/cp.2011.e59