How is chronic dacryocystitis diagnosed?

Diagnosis. Diagnosing dacryocystitis is relatively simple. During an exam, a doctor may ask for a person’s medical history and then access the eye for visible signs of dacryocystitis, such as swelling or redness. A doctor may press on the lacrimal sac to see if pus comes out.

What is chronic dacryocystitis?

Chronic dacryocystitis is an inflammatory condition of the lacrimal sac most commonly associated with partial or complete obstruction of the nasolacrimal duct. Most chronic dacryocystitis present with watering and discharge, but some may progress and cause severe ocular and extra ocular complication.

What is Dacryocyst?

Dacryocystitis is infection of the tear (lacrimal) sac usually due to a blockage in the tear (nasolacrimal) duct. The tear sac is a small chamber into which tears drain. The usual cause of dacryocystitis is a blockage of the nasolacrimal duct, which leads from the tear sac into the nose.

What is the most common cause of acute dacryocystitis?

An acute infectious state typically causes acute dacryocystitis. In the United States, the most common organism is Staphylococcus and Streptococcus species, followed by Haemophilus influenza and Pseudomonas aeruginosa.

What antibiotics are used for dacryocystitis?

Topical antibiotics include Polytrim, gentamicin, tobramycin, and TobraDex (antibiotic/steroid combination drop). Occasionally, nasal decongestants (eg, Afrin) are used on a short-term basis. Oral antibiotics are useful in patients with acute dacryocystitis who are not acutely ill.

What bacteria causes dacryocystitis?

Acute dacryocystitis is often caused by Gram-negative rods. In chronic dacryocystitis, mixed bacterial isolates are more commonly found with the predominance of Streptococcus pneumoniae and Staphylococcus spp. Fungal infections caused by Candida albicans and Aspergillus spp occur infrequently.

Is Dacryoadenitis the same as dacryocystitis?

Dacryoadenitis is inflammation of the lacrimal gland. Acute presentations are typically viral while chronic presentations are often due to an underlying systemic condition. Dacryocystitis is inflammation of the lacrimal sac and is typically due to an obstruction of the nasolacrimal duct.

How do you unblock your lacrimal glands?

Some of the procedures done by the ophthalmologist for opening a blocked tear duct include:

1. Tear duct probing (a thin metal instrument called a probe is used to unclog the tear duct)
2. Balloon catheter dilatation (a thin and flexible tube called a catheter that expands like a balloon is used to remove the blockage)

What is the best antibiotic for dacryocystitis?

Acute dacryocystitis with orbital cellulitis Ampicillin-sulbactam, ceftriaxone, and moxifloxacin are possible antibiotic alternatives. Vancomycin should be considered for suspected MRSA infection.

What antibiotics treat dacryocystitis?

What do you need to know about chronic dacryocystitis?

Chronic Dacryocystitis Chronic dacryocystitis is an inflammatory condition of the lacrimal sac most commonly associated with partial or complete obstruction of the nasolacrimal duct. Most chronic dacryocystitis present with watering and discharge, but some may progress and cause severe ocular and extra ocular complication.

How is local massage carried out for congenital dacryocystitis?

Congenital dacryocystitis: – Local massage over lacrimal sac: This is carried out by blocking the common canaliculus with finger and then stroking downward to increase hydrostatic pressure within lacrimal sac, which may open the membranous obstruction in the nasolacrimal duct. – Topical and/or systemic antibiotics for superadded infection.

What does a CT scan of dacryoadenitis show?

– Computerised tomography (CT) scan of the orbits with contrast medium may show oblong, diffuse enlargement of the lacrimal gland. There is marked enhancement in delineation with contrast medium in acute dacryoadenitis unlike chronic dacryoadenitis which does not show enhancement.

How does dacryocystitis affect the lacrimal sac?

Dacryocystitis is an inflammation affecting lacrimal sac. Lacrimal excretory system drain tears from eye to the nasal cavity. Stagnation of tears due to blockage of lacrimal drainage system can result in dacryocystitis.