dacryocystitis
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Etiology
- granulomatosis with polyangiitis; Wegener's granulomatosis
- Staphylococcus aureus (MSSA) (case report)[2]
Pathology
- inflammatory or neoplastic obstruction of the nasolacrimal duct
Clinical manifestations
- pain, tenderness, swelling & erythema of the medial lower eyelid
- purulent discharge over conjunctiva
- fluid may be expressed with pressure over the puncta with chronic dacrocystitis
- conjunctivitis
- blepharitis
* image[2]
Laboratory
- gram stain of eye discharge
- culture of eye discharge
- urine culture, blood culture, CSF culture (case report)[2]
Complications
Management
- intravenous antibiotic agents (case report)[2]
- switch to ophthalmic antibiotic
- warm compresses & nasolacrimal duct massage
- nasolacrimal duct probing to prevent recurrent infection[2]
More general terms
- lacrimal apparatus disease; lacrimal gland disease
- eye infection (ocular inflammation including eyelid inflammation)
Additional terms
References
- ↑ DeGowin & DeGowin's Diagnostic Examination, 6th edition, RL DeGowin (ed), McGraw Hill, NY 1994, pg 877
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Hoffmann J, Lipset S (image) Acute Dacryocystitis. N Engl J Med 2018; 379:474 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30067930 https://www.nejm.org/doi/full/10.1056/NEJMicm1713250