Dacryocystitis

Dacryocystitis is an infection of the nasolacrimal sac. It causes pain, redness and swelling over the inner aspect of the lower eyelid and epiphora. It is often caused by nasolacrimal obstruction. It is commonly associated with Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas species.

Clincial Features

 * pain, swelling, redness over the lacrimal sac at medial canthus.
 * tearing, crusting, fever
 * digital pressure over the lacrimal sac may extrude pus through the punctum
 * In chronic cases, tearing may be the only symptom

Treatment

 * warm compresses, nasal decongestants, systemic and topic antibiotics
 * if chronic, obtain cultures by aspiration
 * Once infection resolves consider Dacryocystorhinostomy(DCR)