-
Differential Diagnosis: Acute dacryocystitis and chronic dacryocystitis
- Acute: pain in medial canthus, sudden onset, marked epiphora
- Chronic: painless, conjunctivitis, mucopurulent discharge when sac is pressed, epiphora
-
Mx of acute dacryocystitis
- –oral antibiotics + warm compresses
- –stab incision may be required
- –NO D & I OR PROBING (don't want bacterial infection to spread)
-
Chronic Dacryocystitis Mx:
- –remove the obstruction by dilation and irrigation (D&I)
- –if fails to respond then DCR (dacryocystorhinostomy)
-
Dacryoadenitis
def'n
Sxs
- Inflammation of the lacrimal gland -> swelling in lacrimal fossa
- •Reduced tear secretion•Pain•Redness•S-shaped ptosis
-
Causes of Dacryoadenitis
- -Mumps
- -Other viridae (measles, influenza, mono)
- -Bacteria (gonorrhoea, Staph., Strep.)
- -Fungi & parasites (rarely)
- -Sarcoidosis–chronic in Afro-Caribbeans
-
Mx of dacryoadenitis
-acute?
-viral?
-bacterial?
- -Acute: NSAIDs or systemic corticosteroids
- -Viral: rest, ice, oral analgesics
- -Bacterial: mild -oral antibiotics, Severe -hospitalize + i.v. antibiotics (monitor for orbital cellulitis)
|
|
