This activity has been designed to meet the educational needs of physicians.
At the conclusion of this activity, the learner will be better able to:
- Traditionally, Actinomyces israelii was thought to be the organism responsible for canaliculitis. Recent studies, however, demonstrate an increased incidence of Staphylococcus and Streptococcus. Many other organisms like Eikenella, Lactococcus, Nocardia, and fungi also have been isolated from patients with canaliculitis.
- Patients may present with watering, discharge, a pouting punctum, or a medial canthal swelling. Mattering on the eyelids, expression of yellowish granules, concretions, and stones by massage are other presentations.
- Conservative medical management includes topical and systemic antibiotics, warm compresses, local massage, syringing, and irrigation. The different surgical options include punctual dilatation or punctoplasty with curettage, canaliculotomy, canaliculoplasty with intubation, and punctum-sparing canaliculotomy with monocanalicular intubation.
Author(s) / Contributors Disclosure of Conflicts of Interest
COMMERCIAL SUPPORT: This activity has received NO commercial support.
- Authors: Kaberi Feroze
- Editors: Bhupendra Patel
- Editors-In-Chief: Hassam Zulfiqar
Chief Medical Reviewer: Kyle Blair
- Nurse Planner/Reviewer/Editor:Lisa Haddad
- Nurse Planner/Reviewer/Editor:Bernadette Makar
- Nurse Planner/Reviewer/Editor:Dorothy Caputo
- Pharmacy Planner/Reviewer/Editor:Mark Pellegrini
- Physician Planner/Reviewer/Editor:Scott Dulebohn
Continuing Education Accreditation Information
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.
Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- StatPearls and ETSU reserve the right to cancel any course due to unforeseen circumstances. StatPearls and ETSU will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.
- StatPearls and ETSU are Equal Opportunity / Affirmative Action / Equal Access Institutions.
Medium or Media Used:
- Computer Requirements: Internet Access
- E-mail Address
Instructions for Credit
- Register for the activity and create a StatPearls login.
- Review the required accreditation information: Target audience, learning objectives, and disclosure information.
- Complete the entire self-study activity.
- Complete the post-test assessments.
- Successfully pass the post-test with a minimum score of 100%.
- Complete the evaluation survey.
- Obtain a certificate.
StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.
The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.
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Media Usage Rights
- Name: 'BCK Patel - Upper canaliculitis.jpg' Attribution: Contributed by Prof. BCK Patel MD
- Name: 'BCK Patel - lower canaliculitis.jpg' Attribution: Contributed by Prof. BCK Patel MD, FRCS
- Name: '2 Punctal membrane-bck patel.jpg' Attribution: Contributed by Professor Bhupendra C. K. Patel MD, FRCS