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Clinics and Practice
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10.4081/cp.2011.e59
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Canaliculitis in Supernumerary Puncta and Canaliculi

by
Ku Chui Yong
1,
Tan Aik Kah
1,2,* and
Faridah Hanom Annuar
1
1
Department of Ophthalmology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Malaysia
2
Department of Ophthalmology, Faculty of Medicine and Health Sciences, University Malaysia Sarawak (UNIMAS), Kuching, Malaysia
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(3), e59; https://doi.org/10.4081/cp.2011.e59
Submission received: 19 June 2011 / Accepted: 26 July 2011 / Published: 11 August 2011

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.
Keywords: supernumerary puncta and canaliculi; epiphora; canaliculitis supernumerary puncta and canaliculi; epiphora; canaliculitis

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MDPI and ACS Style

Chui Yong, K.; Aik Kah, T.; Annuar, F.H. Canaliculitis in Supernumerary Puncta and Canaliculi. Clin. Pract. 2011, 1, e59. https://doi.org/10.4081/cp.2011.e59

AMA Style

Chui Yong K, Aik Kah T, Annuar FH. Canaliculitis in Supernumerary Puncta and Canaliculi. Clinics and Practice. 2011; 1(3):e59. https://doi.org/10.4081/cp.2011.e59

Chicago/Turabian Style

Chui Yong, Ku, Tan Aik Kah, and Faridah Hanom Annuar. 2011. "Canaliculitis in Supernumerary Puncta and Canaliculi" Clinics and Practice 1, no. 3: e59. https://doi.org/10.4081/cp.2011.e59

APA Style

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

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