| ID | 274 |
|---|---|
| Name | ACUTE DACRYOCYSTITIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | It is acute suppurative inflammation of the lacrimal sac. It occurs usually as an acute exacer-bation of chronic dacryocystitis. |
| History | |
| Etiology | |
| Clinical Features | Clinical feature: 1. Severe pain and sensation of heat over the sac area. 2. Feverish feeling. 3. Epiphora. 4. Marked redness and swelling over the sac area. 5. Oedema of the lids. 6. Skin over of the swelling is markedly tender and hot. 7. When lacrimal abscess is formed, fluctuation can be elicited. 8. When the abscess bursts on the skin surface, a fistula is formed. 9. Regurgitation through the Puncta as canaliculi blocked. |
| Preventions | |
| Treatment | Treatment: A. Before formation of abscess - 1. Hot compress over sac area. 2. Inj. crystalline penicillin 500,000 units 6-hourly daily for 5.days. Or, 3. Cephalosporine e.g cephradine 500mg 12- hourly for 5-7days. 4. Analgesics like aspirin, if required. B. When abscess isformed- 1. A vertical incision over the sac should be made to drain the pus. 2. Dacryocystectomy when the inflammation completely subsides. C. When fistula is formed- Excision of the fistulous passage and removal of the sac. |
| Complications | |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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