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Acute Dacryocystitis: Definition, Clinical Features, Treatment

Acute Dacryocystitis is one of the most common eye diseases in the developing countries in recent years. Here is some important information about this disease:

Definition: Acute inflammation of lacrimal sac is called Acute Dacryocystitis.

Causative organisms: Staphylococcus, Streptococcus, Pneumococcus.

Symptoms:

Pain, Redness, Swelling, Watering (Epiphora) at the medial canthus.

Signs:

  • Very tender, red, tense swelling at the medial canthus.
  • Lacrimal abscess
  • Fistula

Acute Dacryocystitis

Treatment:

Broad spectrum systemic antibiotic (Amoxicillin, Flucloxacillin, Ciprofloxacin)

Systemic analgesic (Diclofenac, Ketorolac)

Then Sac Patency Test is done after subside of the acute condition.

If SPT is blocked, then Dacryocystorhinostomy (DCR).

If SPT is patent, then no Rx.

TREATMENT OF LACRIMAL ABSCESS:

If Abscess is formed, it is confirmed by Fluctuation Test.

Then drain the pus: by Pressure through puncta/Needle aspiration/Incision & drainage.

Then pus is sent for C/S.

If previous drug responses, then no change.

If the previous drug does not respond, then changed to the sensitive drug.

Then Sac Patency Test is done.

If SPT is blocked, then Dacryocystorhinostomy (DCR).

If SPT is patent, then no Rx.

COMPLICATIONS OF ACUTE DACRYOCYSTITIS:

1. Lacrimal abscess

2. Lacrimal Fistula

3. Osteomyelitis of the lacrimal bone

4. Orbital cellulitis

5. Cavernous sinus thrombosis

Regular taking of medicine is needed to treat this disease.

Thank you for reading this article about acute dacryocystitis.

The Author

Dr. Sujon Paul

The author of this post is Dr. Sujon Paul, an MBBS Doctor. He is also a blogger and updates this website [HITBANGLA.COM] regularly with fresh contents. Thank you for visiting this website. Contact Author: Facebook, Twitter & Google Plus

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