Dacryocystitis

inflammation of lacrimal sac

1. DACRYOCYSTITIS

2. DACRYOCYSTITIS Inflammation of lacrimal sac Often caused by obstruction of naso-lacrimal duct Followed by bacterial infection.

3. ANATOMY- Lacrimal apparatus

4. TYPES ACUTE CHRONIC ACQUIRED CONGENITAL CLASSIFICATION

5. CAUSES NLD block due to narrowness or chronic inflammation of sac . Nasal polyps . Following primary conjunctivitis . Infection spreading from nasophraynx . Organisms responsible : Pneumococcus , streptococcus , staphylococcus , mycobacterium , etc ,...

6. ACUTE DACRYOCYSTITIS RISK : Older patients bcoz lacrimal drainage system loses its elasticity Poor hygiene SYMPTOMS : Pain Redness Swelling over inner aspect of lower eyelid ( can lead to orbital cellulitis )

7. Acute

8. CHRONIC DACRYOCYSTITIS RISK : Postmenopausal women – spontaneous or follow lacrimal sac infection . Infants – bcoz of failure of NLD to open into inferior meatus . SYMPTOMS : Watering Mucopurulent discharge Regurgitation of pus / mucopus through puncta on pressure over the sac area .

9. CHRONIC

10. COMPLICATIONS Fistula formation Lacrimal sac abscess Orbital cellulitis Meningitis Cavernous sinus thrombosis

11. TREATMENT ACUTE : Systemic antibiotics Warm compresses and gentle massage Local incision drainage if abscess formed . CHRONIC : Repated syringing Dacryocystorhinostomy Dacryocystectomy

12. THANK YOU