ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BAN ĐẦU VIÊM LỆ QUẢN BẰNG PHẪU THUẬT RẠCH LỆ QUẢN CÓ ĐẶT ỐNG SILICON MINI MONOKA S1.1500

Abstract

Purpose: To determine results after canaliculotomy with intubation S1.1500 Mini Monoka in managing canaliculitis. Study design and Method: The study reports a case series. From 2020 to 2021, we gathered 25 eyes who met the diagnostic criteria for canaliculitis. Then, dacryoliths and pus discharge were removed for microbiological testing. An incision was made in the lacrimal canal to insert a Mini-Monoka S1.1500 stent. Finally, we removed the stents after three months and patients underwent until six months of follow-up. Results: We gathered 25 eyes of 24 patients with an average age 53,16 ± 14,53. After six months, 88% of all cases were recorded success. 4% of all were completely failed, 12% with some complications (punctum stenosis and granuloma with 4% and 8%, respectively) and no relapse. The results showed that 88% (22 samples) of microbiology samples were positive, 22,73% of those were co-infected with 2 microorganisms, and none was more than two. Among those, 7 samples were positive with Gram-positive anaerobic coccus Parvimonas micra (rate 31.82% out of 22 samples were positive for microorganisms and 28% of total samples collected); of which, 4 samples (18.18%) were co-infected with other anaerobic species (3 Gram-negative bacteria: Campylobacter rectus, Prevotella nanceiensis, Prevotella conceptionensis, and 1 Gram-positive Actinomyces turicensis). Conclusion: Primary canaliculitis is rare and easy to be misdiagnosed. Early diagnosis is very important in complete cure because the longer the disease duration is, the worse the complications and prognosis are. Treating needs canaliculus pressing combined with canaliculotomy and intubation S1.1500.