Lacrimal
Dacryocystitis
Dacryocystitis SYMPTOMS Pain | tearing | tenderness SIGNS Redness, swelling over nasal aspect of lower eyelid | Possible discharge WORK-UP Thorough history. Slit lamp examination TREATMENT Warm compress with massage Dacryocystorhinostomy Oral antibiotics: Augmentin 25-45 mg/kg/day in 2 doses (children) | Augmentin 875/125 mg bid (adults) | Keflex 500 mg tid (adults) IV antibiotics required…
Read MoreNasolacrimal Duct Obstruction
Nasolacrimal Duct Obstruction SYMPTOMS Tearing, discomfort SIGNS Tearing, redness, mucous discharge WORK-UP Thorough history. Slit lamp examination TREATMENT Observation | lid massage | topical antibiotic | probing | Rarely is dacryocystorhinostomy indicated. FOLLOW-UP Frequent follow-ups are not indicated unless a surgery procedure is performed. ADDITIONAL LAB | TESTS Fluorescein dye disappearance test ETIOLOGY Congenital (duct…
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