GR 1144


Nov 12, 2023
Dacryocystitis, typically occurs when the nasolacrimal duct gets blocked. This duct is crucial for draining tears, and its blockage often leads to inflammation in the lacrimal sac.

Dacryocystitis Symptoms and treatment

Dacryocystitis, an inflammation of the lacrimal sac, usually happens when the nasolacrimal duct, responsible for draining tears, gets blocked. This blockage often inflames the small tear-collecting lacrimal sac. The nasolacrimal duct, which connects the lacrimal sac to the nasal cavity, frequently blocks, leading to dacryocystitis.

Dacryocystitis Symptoms and treatment

Dacryocystitis infections can lead to fever and sometimes cause pus-filled abscesses. In acute cases, the tear sac area swells, turns red, and may secrete pus. Pressing the tear sac often releases a thick substance, causing excessive tearing. Chronic dacryocystitis causes lacrimal sac swelling, with pressure possibly releasing pus-like discharge, often leading to ongoing pink eye.

Diagnosing Dacryocystitis

To accurately diagnose dacryocystitis, doctors initiate a thorough assessment, starting with an in-depth evaluation of the patient’s specific symptoms, complemented by a comprehensive medical examination. Firstly, this process entails asking detailed questions about the symptoms’ onset, duration, and nature, focusing on any discomfort or pain. Subsequently, they meticulously examine the affected area for signs of inflammation or infection. Additionally, the doctors review the patient’s medical history, seeking any contributing factors to the development of dacryocystitis. This methodical diagnostic approach enables them to precisely identify the condition and devise an optimal treatment plan.

Treating Dacryocystitis

Treating Dacryocystitis involves a multi-faceted approach.

  • In cases of acute dacryocystitis, the standard treatment usually starts with oral antibiotics.
  • For more severe cases, where the infection is particularly aggressive, doctors may administer antibiotics intravenously to ensure a more immediate and potent response.

In addition to medication, applying warm compresses to the affected area several times a day can be beneficial. This simple yet effective method helps in reducing discomfort and swelling, promoting healing by increasing blood flow to the inflamed area.

Once doctors control and reduce the acute phase of the infection, they often look towards a long-term solution to prevent recurrence, particularly in chronic dacryocystitis cases. In these situations, they frequently recommend surgery, specifically dacryocystorhinostomy (DCR). This surgical procedure creates a new pathway for tear drainage, directly addressing the underlying duct obstruction and effectively managing chronic dacryocystitis. This proactive strategy aims to lessen the chances of future infections and complications associated with the condition.



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