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

Leave a Comment

You must be logged in to post a comment.