Acute Sterile Canaliculitis: A Case Report and Review of the Literature

A 53-year-old male developed secondary canaliculitis after undergoing nasolacrimal intubation with a silicone stent. Negative cultures, symptoms refractory to antibiotics, and rapid resolution after stent removal suggest an immune reaction as the mechanism of canaliculitis. This case raises awareness of noninfectious hypersensitivity or hypersensitivity-like reactions as a potential acute or subacute complication of nasolacrimal stenting. Accepted for publication October 2, 2018. The authors have no financial or conflicts of interest to disclose. Presented as a poster at the 37th Annual Meeting of the European Society of Ophthalmic Plastic and Reconstructive Surgery, which took place on September 13th–15th, 2018, in Bucharest, Romania. Address correspondence and reprint requests to Emily Li, M.D., 40 Temple Street, Suite 3D, New Haven, CT 06510. E-mail: emily.li@yale.edu © 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.

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