Mohammad Javed Ali1, Joveeta Joseph2, Shweta Gupta3, Sai Jeevana Madhuri Guda2. 1. Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 34, India. drjaved007@gmail.com. 2. Jhaveri Microbiology Laboratory, L. V. Prasad Eye Institute, Hyderabad, 34, India. 3. Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 34, India.
Abstract
AIM: To report an atypical case of multiple viruses causing canaliculitis. METHODS: Case report of a young female presenting with atypical course of refractory unilateral canaliculitis with complete mid-bicanalicular obstructions. Canalicular scrapings were subjected to immunofluorescence techniques and polymerase chain reactions to identify the viruses. RESULTS: Investigations revealed a canaliculitis of multi-viral etiology; herpes simplex virus and varicella zoster virus. A canalicular curettage followed by topical acyclovir helped in the resolution of canaliculitis. CONCLUSION: An encounter with an atypical canaliculitis with negative bacteriology work up, suboptimal response to routine therapies, and mid-canalicular obstructions should alert the physician to investigate for viral etiology.
AIM: To report an atypical case of multiple viruses causing canaliculitis. METHODS: Case report of a young female presenting with atypical course of refractory unilateral canaliculitis with complete mid-bicanalicular obstructions. Canalicular scrapings were subjected to immunofluorescence techniques and polymerase chain reactions to identify the viruses. RESULTS: Investigations revealed a canaliculitis of multi-viral etiology; herpes simplex virus and varicella zoster virus. A canalicular curettage followed by topical acyclovir helped in the resolution of canaliculitis. CONCLUSION: An encounter with an atypical canaliculitis with negative bacteriology work up, suboptimal response to routine therapies, and mid-canalicular obstructions should alert the physician to investigate for viral etiology.