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 in advanced cases or in severely ill patients \| Topical medications are usually not adequate.
		FOLLOW-UP	Every 1-2 days during treatment
		ADDITIONAL LAB \| TESTS	None
		ETIOLOGY	Nasolacrimal duct obstruction \| Rarely caused by a tumor
		DIFFERENTIAL DX	Dacryocystocele \| Frontal sinus mucocele \| Cellulitis \| Acute ethmoid sinusitis
NOTES	Do NOT irrigate or probe the lacrimal system during an acute infection