What is the treatment for dacryocystitis

Inflammation of the lacrimal sac

Lacrimal sack inflammation (Dakryocystitis): Acute or chronic inflammation of the tear sac and duct. Closures or constrictions are possible at any point in the tear duct system. Inflammation of the lacrimal sac is the most common disease of the lacrimal ducts, inflammation of the lacrimal tubules (canaliculitis) is less common.

Leading complaints

  • Unilateral swelling of the tear sac
  • With or without reddening (also of the conjunctiva and lower eyelid)
  • Pain, especially when touched, which can radiate into the forehead and tooth region
  • Possibly pus from the lower teardrop
  • Possibly a fever

When to the doctor

Over the next few weeks if the swelling doesn't improve.
Even today when there is fever, redness and / or pain.

The illness

At a acute tear sack inflammation (acute dacryocystitis) the outlet of the lacrimal sac is narrowed, e.g. B. as a result of scarlet fever, chickenpox or flu infection. The tear fluid no longer flows off, the eyes water, and inflammation occurs. The accumulated tear fluid is an ideal breeding ground for bacteria, also from neighboring infected tissues, such as B. the sinuses.

The bacteria can encapsulate themselves in the lacrimal sac to form an abscess that can break through spontaneously (Lacrimal sac fistula). If the infection spreads to the eyelids and cheeks (Dakryophlegmon), there is a risk of blood poisoning (sepsis). After the acute inflammation of the lacrimal sac has subsided, the redness and swelling may persist. Such chronic tear sack inflammation (chronic dacryocystitis) can also develop without a preceding acute phase.

The doctor does that

Treatment depends on the underlying disease. If the cause is unclear, secretion and pus are extracted from the tear sac by applying light pressure to detect the pathogen. To rule out a sinus infection, the ophthalmologist will refer the patient for an X-ray or to an ENT doctor. In order to cover a broad spectrum of pathogens, antibiotics are applied immediately locally (ointment with gentamicin, e.g. Refobacin®) and systemically (e.g. dicloxacillin, e.g. Infectostaph®).

After the pathogen has been identified, it may be necessary to switch to an antibiotic with a different spectrum of activity. In order to prevent chronic inflammation of the tear sacs, a new direct connection between the tear sac and the lower nasal passage is surgically created depending on the location of the constrictionDacryocystorhinostomy).

07/16/2008 | From: Dr. rer. nat. Katharina Munk