Dacryocystitis

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Background

  • Acute or chronic inflammation and bacterial infection of the lacrimal sac
    • Most common pathogens: Strep. pneumoniae, staph. aureus, staph. epidermidis, h. influenzae
  • Most common in children
  • Often after viral URI
  • Complications: Periorbital Cellulitis, Orbital Cellulitis, Meningitis

Clinical Features

  • Mucopurulent material expressed from nasolacrimal sac
  • Erythema and edema between medial canthus and nasal bridge

Evaluation

  • Physical exam
  • May culture purulent material

Differential Diagnosis

Periorbital swelling

Proptosis

No proptosis

Lid Complications

Other

Neonatal eye problems

Management

References

  • Tintinalli 7th ed, p. 764