Dacryocystitis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Classification
Dacryocystitis may be classified as:[1]
- Acute
- Subacute
- Chronic- This may be the end stage of acute/subacute dacryocystitis. Dacryocystorhinostomy is usually necessary ror chronic or recurrent dacryocystitis.[2]
Pathophysiology
Causes
Differential Diagnosis
Epidemiology and Demographics
Risk Factors
Natural History, Complications, and Prognosis
Diagnosis
Treatment
Clincial Features
- pain, swelling, redness over the lacrimal sac at medial canthus.
- tearing, crusting, fever
- digital pressure over the lacrimal sac may extrude pus through the punctum
- In chronic cases, tearing may be the only symptom
Diagnosis
Patient #1: CT images demonstrate dacryocystitis and preseptal cellulitis
Treatment
- warm compresses, nasal decongestants, systemic and topic antibiotics
- if chronic, obtain cultures by aspiration
- Once infection resolves consider Dacryocystorhinostomy(DCR)
References
- ↑ Jeffrey, Hurwitz (2014). "Chapter12.15:The Lacrimal Drainage System". Ophthalmology, Fourth Edition. Elsevier. pp. 1346–1351. ISBN 978-1-4557-5001-6.
- ↑ Durand, Marlene (2015). "Chapter 118:Periocular infections". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 1432–1438. ISBN 978-1-4557-4801-3.
External Links
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