Lid/Orbit
Canaliculitis
Also known as: lacrimal canaliculus infection, punctum discharge, punctal pouting, Actinomyces canaliculitis, dacryocanaliculitis, lacrimal drainage infection, yellow granules punctum, chronic discharge medial canthus
Clinical decision support only
OptoGuide™ supports professional judgement and does not diagnose or replace clinician responsibility.
Overview
Infection of the lacrimal canaliculus, most commonly caused by Actinomyces israelii. Characteristically presents with unilateral discharge from the punctum and a pouting, inflamed punctum with expressible concretions. Frequently misdiagnosed as conjunctivitis. Definitive treatment is surgical.
What OptoGuide™ covers for canaliculitis
- Recognition patterns — symptoms, signs, and differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
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