Acute dacryocystitis is an inflammation of the lacrimal sac, characterized by painful swelling below the inner eye corner. It is caused by an obstruction of the nasolacrimal duct leading to infection, most commonly by Staphylococcus aureus or pneumococcus bacteria. If left untreated, the infection can progress through stages of cellulitis, abscess formation, and fistula formation draining pus externally or internally into the nasal cavity.