Dacryocystitis

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Background

  • Acute or chronic inflammation and bacterial infection of the lacrimal sac
    • Most common pathogens: S. pneumoniae, S. aureus, S. epidermidis, H. influenzae
  • Most common in children
  • Often occurs 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

Differential Diagnosis

Periorbital swelling

Proptosis

No proptosis

Lid Complications

Other

Neonatal eye problems

Evaluation

  • Generally a clinical diagnosis
  • Consider culture of any purulent drainage

Management

Disposition

  • Generally may be discharged with ophthalmology follow-up

See Also

External Links

References