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Canaliculitis - EyeWiki
...Pressing on the punctum or canaliculi will express mucoid discharge, often with solid granular concretions. The diagnosis of canaliculitis is clinical. The punctum has a classic, red swollen appearance "pouting punctum", and the canalicular eyelid margin is also erythematous and edematous....
https://eyewiki.org/Canaliculitis

Lacrimal canaliculitis - PMC
...Epiphora, chronic or recurrent unilateral conjunctivitis, pouting punctum, yellow discharge or canaliculiths are all presentations of canaliculitis. If discharge or concretions are present, microbiological or histopathological investigation should be conducted from expressed materials....
https://pmc.ncbi.nlm.nih.gov/articles/PMC3923200/

Canaliculitis: What It Is, Causes & Treatment - Cleveland Clinic
...They talk with you about your symptoms and look for redness and upper punctum swelling (known as pouting punctum). Your provider may press on your punctum or near your canaliculi to see if discharge drains from your eye....
https://my.clevelandclinic.org/health/diseases/24412-canaliculitis

What Is Canaliculitis? - All About Vision
...Canaliculitis is an inflammation or infection of the tear duct or canal (the lacrimal canaliculus). It is a relatively uncommon disease with symptoms such as tearing, discharge and swelling in the tear duct opening. Because of its rarity and common symptoms, canaliculitis is frequently misdiagnosed....
https://www.allaboutvision.com/conditions/infections-allergies/canaliculitis/

Canalicular Rolling Stones - Review of Optometry
...The classic biomicroscopic sign of canaliculitis is said to be a ?pouting punctum.? 1-10 This term describes the red, swollen and outwardly turned punctal orifice, which tends to resemble a pair of pouting lips....
https://www.reviewofoptometry.com/article/canalicular-rolling-stones

Canaliculotomy - Eye Patient
...Canaliculotomy is a surgical procedure to correct canaliculitis, a condition characterized by medial eyelid edema, epiphora (excessive tearing), punctal discharge, and pouting punctum (sharp tip)....
https://eyepatient.net/Home/articledetail/canaliculotomy-4698

Canaliculitis - an overview | ScienceDirect Topics
...Canaliculitis is an uncommon inflammation of the proximal lacrimal drainage system that is frequently misdiagnosed. It classically presents with symptoms of unilateral conjunctivitis, mucopurulent discharge, medial canthal inflammation, epiphora, and a red, pouting punctum....
https://www.sciencedirect.com/topics/medicine-and-dentistry/canaliculitis

Canaliculitis - StatPearls - NCBI Bookshelf
...Patients may present with watering, discharge, a pouting punctum, or a medial canthal swelling; these symptoms may be confused with chronic conjunctivitis, inflamed chalazion or acute dacryocystitis....
https://www.ncbi.nlm.nih.gov/books/NBK441922/

Hidden in Plain Sight: The Diagnostic Challenges of Lacrimal ...
...Primary lacrimal canaliculitis (PLC) occurs mainly secondary to infection, most commonly due to actinomyces, staphylococcus, and streptococcus (2). Secondary canaliculitis, on the other hand, occurs as a complication of inter-canalicular or punctal plug insertion for the treatment of dry eye (1)....
https://www.jfophth.com/hidden-in-plain-sight-the-diagnostic-challenges-of-lacrimal-canaliculitis/

H04.331-333 Acute Lacrimal Canaliculitis - Decision-Maker PLUS
...The normal punctum is in contact with the globe and is not usually visible without pulling the lower eyelid downwards and the upper eyelid upwards. Abnormal findings involving the punctum include malposition, stenosis or obstruction....
https://decisionmakerplus.net/dg-post/h04-333-acute-lacrimal-canaliculitis/



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