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NR AISHWARYA
MBBS
PIMS
 Acute dacryocystitis is an acute suppurative
inflammation of the lacrimal sac,
characterized by presence of swelling in the
region of sac
 The term derives from the greek
dakryon(tear),cysta(sac),and it is(inflammation)
 The onset is acute,and there is painful swelling
below the inner canthus,often combined with
cellulitis
 Obstruction of nasolacrimal duct leads to
stasis of nasolacrimal fluid-infection
 Staphylococcus aureus –most common
 Pneumococcus
3 Stages
 Stage of cellulitis
 Stage of lacrimal abscess
 Stage of fistula formation
Risk factor
 Age-more common between 40-60
years(lacrimal drainage system loses its
elasticity)
 Poor personal hygiene
 Characterized by a painful swelling in the
region of lacrimal sac
 Associated with epiphora,fever and malaise
 Swelling is red,hot,firm and tender
 Redness and edema spread to the lips and
cheek
 When treated resolution may occur
 Continous inflammation causes occlution of the
canaliculi due to oedema
 The space is filled with pus,distends and its
anterior wall ruptures forming a pericystic
swelling-large lacrimal abscess formed
 Points below and outer side of the sac-due to
gravitation of pus & medial palpebral ligament in
the upper part.
MEDIAL
PALPEBRAL
LIGAMENT
 When lacrimal abscess is left unattended-
discharge spontaneously-external fistula below
medial palpebral ligament
 Rarely, abscess may opens into the nasal cavity-
internal fistula
 Acute conjuntivities
 Corneal abrasion which may converted into
corneal ulcer
 Lid abscess
 Osteomyelitis of lacrimal bone
 Orbital cellulitis
 Facial cellulitis
 Rarely cavernous sinus thrombosis can occur
Acute dacryocystitis

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Acute dacryocystitis

  • 2.  Acute dacryocystitis is an acute suppurative inflammation of the lacrimal sac, characterized by presence of swelling in the region of sac  The term derives from the greek dakryon(tear),cysta(sac),and it is(inflammation)  The onset is acute,and there is painful swelling below the inner canthus,often combined with cellulitis
  • 3.  Obstruction of nasolacrimal duct leads to stasis of nasolacrimal fluid-infection  Staphylococcus aureus –most common  Pneumococcus
  • 4. 3 Stages  Stage of cellulitis  Stage of lacrimal abscess  Stage of fistula formation Risk factor  Age-more common between 40-60 years(lacrimal drainage system loses its elasticity)  Poor personal hygiene
  • 5.  Characterized by a painful swelling in the region of lacrimal sac  Associated with epiphora,fever and malaise  Swelling is red,hot,firm and tender  Redness and edema spread to the lips and cheek  When treated resolution may occur
  • 6.  Continous inflammation causes occlution of the canaliculi due to oedema  The space is filled with pus,distends and its anterior wall ruptures forming a pericystic swelling-large lacrimal abscess formed  Points below and outer side of the sac-due to gravitation of pus & medial palpebral ligament in the upper part.
  • 8.
  • 9.  When lacrimal abscess is left unattended- discharge spontaneously-external fistula below medial palpebral ligament  Rarely, abscess may opens into the nasal cavity- internal fistula
  • 10.
  • 11.  Acute conjuntivities  Corneal abrasion which may converted into corneal ulcer  Lid abscess  Osteomyelitis of lacrimal bone  Orbital cellulitis  Facial cellulitis  Rarely cavernous sinus thrombosis can occur