CHRONIC DACRYOCYSTITIS.pptx

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Pavan Sagar

Chronic Dacrocystitis

Health & Medicine

EVALUATION OF EPIPHORA
CHRONIC DACRYOCYSTITIS

EPIPHORA
Increased
production
Decreased
drainage
Lacrimal
pump
failure

INCREASED
SECRETION
BASAL
Autonomic
disturbance
Pro-secretory
drugs
REFLEX
Chronic lid
disease (e.g.
blepharitis)
Local irritant
(e.g. FB,
trichiasis)
Anterior
segment
disease

Lacrimal
pump failure
Orbicularis
weakness
Lid laxity

Decreased drainage
Punctal obstruction
Primary stenosis
Secondary stenosis
Canalicular
obstruction
Partial
Complete
Sac obstruction
Duct obstruction
Partial
Complete
Ocular surface
disorders
Eg:Conjunctivo-
chalasis

Obstruction
Stagnation of
secretions
Infection
Chronic
Inflammation
Fibrosis of
passages

CLINICAL FEATURES:
Mucocele Mucopurulent discharge

Detecting level of obstruction
DILATATION AND SYRINGING
HARD STOP SOFT STOP

Positive Negative
Positive Negative
JONES PRIMARY JONES SECONDARY

FOR SECONDARY PUNCTAL STENOSIS:
FOR PRIMARY PUNCTAL STENOSIS:

FOR NASOLACRIMAL DUCT OBSTRUCTION:
PARTIAL:
PROBING
BALLOON DACRYOCYSTOPLASTY
STENT INSERTION
COMPLETE:

TYPES OF DCR:
CONVENTIONAL DCR
ENDOSCOPIC DCR
LASER DCR
CONJUNCTIVO-DCR
CANALICULO-DCR

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