Canaliculitis

- Nasal conjunctival redness, swollen and pouting punctum, and a mucopurulent discharge with itching, tearing, and irritation.

- Digital pressure over the punctum results in a greenish-yellow exudate often followed by yellowish concretions.

- Gram stain of the exudate confirms diagnosis.

- Surgical drainage may be necessary if curettage fails.

- Definitive treatment is surgical; antibiotics may play a 2^° role.

A. israelii