Which sign is commonly associated with canaliculitis?

Prepare for the NBEO Part III Test with comprehensive questions on Patient Encounters and Performance Skills. Answer multiple choice and scenario-based questions with explanations. Ensure success on your optometry exam!

Multiple Choice

Which sign is commonly associated with canaliculitis?

Explanation:
Canaliculitis is an infection of the tear drainage canal, and the most telling sign is the presence of concretions within the canaliculus that can be expressed as discharge from the punctum. These sulfur‑granule–like concretions result from chronic infection (often due to Actinomyces) and are typically seen when gently probing or squeezing the canaliculus or punctum. The other options aren’t characteristic features of canaliculitis: pupil dilation isn’t a hallmark of this condition, intraocular pressure isn’t specifically elevated, and a corneal ulcer points to corneal disease rather than canalicular inflammation.

Canaliculitis is an infection of the tear drainage canal, and the most telling sign is the presence of concretions within the canaliculus that can be expressed as discharge from the punctum. These sulfur‑granule–like concretions result from chronic infection (often due to Actinomyces) and are typically seen when gently probing or squeezing the canaliculus or punctum. The other options aren’t characteristic features of canaliculitis: pupil dilation isn’t a hallmark of this condition, intraocular pressure isn’t specifically elevated, and a corneal ulcer points to corneal disease rather than canalicular inflammation.

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