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dacryocystitis
ICD-10 Codes
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Description
What is Dacryocystitis?
Dacryocystitis is an infection of the lacrimal sac, which is a small gland located in the corner of the eye that produces tears to lubricate and protect the eye. The condition can cause pain, redness, and discomfort in the affected area.
Causes and Symptoms
The usual cause of dacryocystitis is a bacterial infection, typically caused by staphylococcal or streptococcal species [1]. The symptoms of dacryocystitis may include:
- Pain and tenderness in the corner of the eye
- Redness and swelling in the affected area
- Epiphora (excessive tearing)
- Erythema (redness) and edema (swelling) in the region of the medial epicanthus and lacrimal puncta [5]
- A blocked tear duct (nasolacrimal duct) can also cause dacryocystitis, leading to acute symptoms [4]
Types of Dacryocystitis
There are two main types of dacryocystitis: acute and chronic. Acute dacryocystitis is a painful condition that occurs when the tear sac becomes infected, while chronic dacryocystitis is a long-term condition that can cause recurring episodes of infection [8].
Treatment and Prevention
The treatment for dacryocystitis typically involves antibiotics to clear up the infection, as well as measures to relieve pain and discomfort. In some cases, surgery may be necessary to drain the infected lacrimal sac or to repair a blocked tear duct [3]. To prevent dacryocystitis, it is essential to maintain good hygiene practices, such as washing your hands regularly, especially after touching your eyes.
References
[1] Dacryocystitis is an infection of the lacrimal sac that sometimes leads to abscess formation. The usual cause is a staphyloccocal or streptococcal species. [2] Aug 1, 2017 — Dacryocystitis is an infection of the tear sacs or lacrimal sacs in the lower corner of the eye that can cause pain, redness, and discomfort ... [3] Dacryocystitis, inflammation and infection of the lacrimal sac, usually stemming from obstruction of the flow of tears into the nose. [4] Acute dacryocystitis is an infection of the tear sac lacrimal sac. The reason for the infection could be a blocked tear duct (nasolacrimal duct). [5] Jan 30, 2011 — Dacryocystitis is typically characterized by epiphora, erythema, and edema in the region of the medial epicanthus and lacrimal puncta as the ... [6] Dacryocystitis is an infection of the lacrimal sac, secondary to obstruction of the nasolacrimal duct at the junction of the lacrimal sac. [7] Activity Description. Dacryocystitis is an inflammatory condition of the lacrimal sac, typically caused by obstruction of the nasolacrimal duct. [8] Feb 24, 2017 — Acute dacryocystitis in adults is a painful condition of the tear sac (lacrimal sac) when the tear duct is blocked.
Additional Characteristics
- Dacryocystitis
- Infection of the lacrimal sac
- Lacrimal sac infection
- Bacterial infection
- Staphylococcal or streptococcal species
Signs and Symptoms
Common Signs and Symptoms of Dacryocystitis
Dacryocystitis, an infection or inflammation of the tear sac, can manifest in various ways. Here are some common signs and symptoms to look out for:
- Pain and Redness: The inner corner of the eye around the tear sac may become painful, red, and swollen [1].
- Excessive Tearing: People with dacryocystitis may experience excessive tearing or watery eyes [4][6].
- Pus or Discharge: In some cases, pus or discharge may ooze from the eye [3][4].
- Inflammation or Swelling: The area around the eye and nose may become inflamed or swollen, leading to tenderness or redness on the inside corner of the eye [5].
- Fever: Acute dacryocystitis can cause fever in some individuals [2].
It's essential to seek medical attention if you experience any of these symptoms, as prompt treatment can help alleviate discomfort and prevent complications.
References: [1] Oct 26, 2021 — General signs and symptoms of dacryocystitis may include pain and redness and swelling in the inner corner of the eye around the tear sac. [2] Aug 1, 2017 — Dacryocystitis can be either acute or chronic. Symptoms of acute dacryocystitis start suddenly and often include fever and pus from the eye. [3] In acute dacryocystitis, the area around the tear sac is painful, red, and swollen. The area around the eye may become red and watery and may ooze pus. Slight ... [4] May 15, 2024 — Symptoms of dacryocystitis · pain, redness, and swelling of the lower eyelid at the inner corner of the eye · excessive tearing · pus or discharge ... [5] Symptoms of Infection: · Inflammation or swelling: tenderness or redness on the inside corner of the eye or around the eye and nose · Recurring eye infections ... [6] Oct 1, 2024 — The most common symptoms of chronic dacryocystitis are excessive tearing and discharge.2 People with this kind of dacryocystitis may also ...
Additional Symptoms
- Inflammation or Swelling
- fever
- excessive tearing
- pain
- discharge
Diagnostic Tests
Diagnostic Tests for Dacryocystitis
Dacryocystitis, an infection or inflammation of the tear ducts, can be diagnosed through various tests and examinations. Here are some of the diagnostic tests used to diagnose dacryocystitis:
- Clinical Diagnosis: In most cases, dacryocystitis is a clinical diagnosis, meaning it's based on the patient's history and physical examination [1].
- Tear Drainage Test: This test measures how quickly tears drain from the eye. A special dye is placed in the corner of the eye to assess tear drainage [3].
- Blood Tests: In chronic dacryocystitis, blood tests such as antineutrophilic cytoplasmic antibody testing and antinuclear antibody testing may be performed to rule out systemic conditions [4].
- Dye Disappearance Test: A doctor may perform a dye disappearance test by placing yellow dye in the corner of the eye. This test assesses tear drainage and can help diagnose dacryocystitis [6].
- Secretory Tests and Excretory Tests: These tests are performed to evaluate the function of the tear ducts and can be used to diagnose dacryocystitis [9].
It's worth noting that a diagnosis of dacryocystitis is often made based on symptoms and examination findings, rather than relying solely on laboratory tests.
References:
[1] MD Adel Alsuhaibani - Diagnostic Procedures [3] Tests used to diagnose a blocked tear duct include: Tear drainage test. [4] Oct 26, 2021 — In chronic dacryocystitis, blood tests, such as antineutrophilic cytoplasmic antibody testing and antinuclear antibody testing, may be ... [6] Aug 1, 2017 — In some cases, a doctor may do a dye disappearance test. During this test, the doctor will place yellow dye in the corner of the eye. In a ... [9] by J Patel · 2023 · Cited by 4 — Tests performed in patients presenting with epiphora are classified as secretory tests and excretory tests.
Additional Diagnostic Tests
- Blood Tests
- Clinical Diagnosis
- Tear Drainage Test
- Dye Disappearance Test
- Secretory Tests and Excretory Tests
Treatment
Treatment Options for Dacryocystitis
Dacryocystitis, an infection of the tear ducts, can be treated with various medications and therapies. The primary goal of treatment is to eliminate the infection and prevent complications.
- Antibiotics: Oral or intravenous antibiotics are commonly prescribed to treat dacryocystitis caused by bacteria. Amoxicillin-clavulanate (Augmentin) and cephalexin are often used as first-line treatments [1, 6].
- Warm Compresses: Applying warm compresses to the affected eye can help loosen any blockages in the tear ducts and promote drainage.
- Topical Antibiotics: In some cases, topical antibiotics may be used in addition to oral antibiotics or as a standalone treatment.
Systemic vs. Topical Treatment
The choice between systemic (oral) and topical antibiotic treatments depends on the severity of the infection and individual patient factors. Systemic antibiotics are usually reserved for more severe cases or when there is a high risk of complications [5].
- Mild Cases: For mild cases, oral antibiotics may be sufficient to treat the infection.
- Severe Cases: In severe cases, intravenous antibiotics may be necessary to quickly eliminate the infection and prevent complications.
Other Considerations
It's essential to note that dacryocystitis can sometimes be caused by a blockage in the tear ducts rather than an infection. In such cases, treatment may involve procedures like lacrimal sac irrigation or surgery to clear the blockage [9].
References:
[1] Nov 2, 2022 — If you have acute dacryocystitis caused by bacteria, your provider will prescribe oral or intravenous (IV, or in the vein) antibiotics. They ...
[6] Oct 26, 2021 — The most common treatment of acute dacryocystitis involves oral antibiotics, such as cephalexin, amoxicillin-clavulanate, and ciprofloxacin ...
[5] by MD Adel Alsuhaibani — Acute dacryocystitis usually requires systemic antibiotic therapy prior to intervention for the NLDO.
[9] Aug 1, 2017 — In all age groups, acute dacryocystitis generally resolves quickly after taking oral antibiotics. Some people may use topical antibiotics as ...
Recommended Medications
- Amoxicillin-clavulanate (Augmentin)
- Warm Compresses
- Topical Antibiotics
- Oral antibiotics (e.g. cephalexin, amoxicillin-clavulanate)
- Intravenous antibiotics
- Lacrimal sac irrigation or surgery
- cephalexin
- Cephalexin
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis of Dacryocystitis
Dacryocystitis, an infection or inflammation of the tear sac (lacrimal sac), requires a thorough differential diagnosis to rule out other potential causes. The following conditions are often considered in the differential diagnosis of dacryocystitis:
- Acute ethmoid sinusitis: Inflammation of the ethmoid sinuses can cause symptoms similar to dacryocystitis, such as facial pain and swelling.
- Infected sebaceous cysts: A blocked or infected sebaceous gland can mimic the symptoms of dacryocystitis, including redness and swelling around the eye.
- Cellulitis: Bacterial infection of the skin and underlying tissues can cause similar symptoms to dacryocystitis, such as redness, swelling, and pain.
- Eyelid ectropion: A condition where the eyelid turns outward, which can cause tearing and discomfort, similar to dacryocystitis.
- Pseudodacryocystitis: A condition where there is inflammation of the lacrimal sac without actual infection, which can be a precursor to dacryocystitis.
According to [3], dacryocystitis is an acute bacterial infection of the lacrimal sac, usually secondary to blockage of the nasolacrimal duct. It is most common in neonates and young children.
The differential diagnosis for dacryocystitis also includes other conditions such as:
- Mucocele: A collection of mucus in the lacrimal sac or surrounding tissues.
- Granulomatous diseases: Such as sarcoidosis or granulomatosis with polyangiitis (Wegener granulomatosis), which can cause inflammation and scarring in the lacrimal sac.
- Malignancies: Rarely, dacryocystitis can be caused by a tumor or cancer in the lacrimal sac.
It is essential to consider these conditions when diagnosing and treating dacryocystitis to ensure proper management and prevent complications.
Additional Differential Diagnoses
- hordeolum externum
- Malignancies
- Infected sebaceous cysts
- Eyelid ectropion
- Pseudodacryocystitis
- Mucocele
- Granulomatous diseases (sarcoidosis, granulomatosis with polyangiitis)
- cellulitis
- ethmoid sinusitis
Additional Information
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- An acute inflammation of lacrimal passage that is characterized by inflammation of the lacrimal sac, has_symptom conjunctivitis and has_symptom purulent discharge.
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.