P 128 Conservative treatment of fungal canaliculitis

&Qg& our aim w89 to eEtimate the effect of the treatment of fungal canalicolitis, according to Dj.Anguelov, 1982. Ms(bob. Ihe method wan applied on three female patients a@@ 46, 57 and 76 yearn, with &ration of the diseaw 1.5, 2 and 3 year& respectively. The treabmmt conaiated of the following procechres: Local topical wd intra-catmlicul aowathesia Diltion of the laclrymal ponctx with Bowman hobyml probes up to size 6. Msrmal expression of the timgal solid mame* %om the canalicul with he aid of firm support aod fingettip moving to the ptmcta Thin wan repeated until the wall ofthe canalicul become soiler. zhan a b&ha of the camlicul iu performed with anti-fmtgd soldion, prepared in advan~a in a ayriqe tilled with isotonic solltiw sod some drops df tiochre of iodine. 'I&I, to creste better paassbilily to the lachrymal sac, a dilatation with Bowmao proben up to size 4 and ini@ion, accord& to Anel with the sane noWon wan applied Usually, a s&Is procedure is needed for the succesgful treatmeot, and rarely it have to be repeated after 2-3 to 7 days. All the time the eye is treated with autineptic sod corticoateroid collyra. &I&&. On the next day the pdnt's status improved signifwxotly-the pain disrppswed, the oedema and the irritation diminished, and atIer 3-7 days the e dieappeared completely, includiq the pundent secretion and 1Dfbaymsliw. Ihe ladnymal wqa we fee paaaable, according to Aoel. and Ibc function of the medical was WtireHy w&red. 'Ibe pati& were followed-up one year ah the treatment. No ten -ce of the disease was observed Cooclwiona. 'Ibis msthod bar significant advantagea in comparieoo with the argical mothoda, becmue it enaorea preservation of the anatomical integrity ad avoida poet-operative deformationa. It is highly effective wd could be easily applied in eveq ophthalmic offke