| ID | 273 |
|---|---|
| Name | CHRONIC DACRYOCYSTITIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | Predisposing factors - stricture of the naso-lacrimal duct, chronic inflammation of the nasal mucosa, hypertrophied inferior turbinate, septal vjation or by the pressure of a nasal polyp. Causative agents are commonly pneumococcus, streptococcus and staphy-lococcus. |
| History | |
| Etiology | |
| Clinical Features | Clinical feature: $tages- . i. Early stage ii. Mucocoele stage iii. Pyocoele stage. 1. In early Stage- Persistent watering of the eye, mild conjunctival hyperemia. 2. In the next stage- There is swelling over the sac area; on pressure over the sac, mucoid or purulent material comes out through the punctum. In doubtful cases, the following tests may be performed to demonstrate the patency of the duct- a. Sac test, b. Syringing of the the sac, ‘ c. Probing of the lacrimal passage. |
| Preventions | |
| Treatment | Treatment: A. Infants- sac should be expressed frequently by gentle pressure followed by instillation of antibiotic drops such as penicillin into the conjunctival sac. If the condition does not improve with above measures then probing under G/A should be done. Adults- 1. Repeated syringing of the Sac. It should be done with penicillin solution 10,000 units /c.c. of distilled water. 2. If the above measure fails- then dacryocysto-rhinostomy or dacryocystectomy operation should be done. |
| Complications | |
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| Observation | |
| Pathology |
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