Canaliculitis in supernumerary puncta and canaliculi

Main Article Content

Ku Chui Yong
Tan Aik Kah *
Faridah Hanom Annuar
(*) Corresponding Author:
Tan Aik Kah | portwinestain@hotmail.com

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