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My Eye is Swollen

Dacryocystitis is defined by inflammation or infection of the nasolacrimal sac. Whether acute or chronic, acquired or congenital, inflammation is caused by obstruction of the nasolacrimal duct usually from infection, trauma, or a space-occupying lesion.

Treatment for dacryocystitis depends on the severity and clinical manifestations of the disease. In mild cases, symptoms will resolve with the application of warm compresses, lacrimal sac massage (Crigler technique), and topical antibiotics if indicated. Severe cases may require oral or parenteral antibiotics and surgical decompression.

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 #54 – Dacryocystitis

The most common cause of dacryocystitis is obstruction of the nasolacrimal duct. Acute (7-10 days of therapy). Mild cases – Clindamycin, Severe – Vancomycin + 3rd generation cephalosporin.

Articles of Interest

Acute Dacryocystitis: Clinical review

Acute dacryocystitis is the inflammation of the lacrimal sac which usually occurs in very young children or > 40 years.

Chronic dacryocystitis?

Diagnosing tumours originating in the nasolacrimal system is often delayed due to the rarity of the condition and because it is often first misdiagnosed as dacryocystitis.

Patient Basics: Tear Duct Infection (Dacryocystitis)

Although tear duct infections can occur at any age, they are most common in infants, who commonly have a congenital (inborn) obstruction of the nasolacrimal duct.

Acute Dacryocystitis with Empyema of the Lacrimal Sac: Is Immediate Endoscopic Dacryocystorhinostomy Justified?

Historically, conventional treatment for ADLSE consisted of prolonged systemic antibiotics together with warm compresses and percutaneous incision and drainage of the lacrimal sac empye

The Swollen Eyelid

Dacryocystitis is inflammation of the lacrimal sac and is typically due to an obstruction of the nasolacrimal duct. These are often bacterial and should be treated with antibiotics. If there is associated cellulitis, patients may benefit from admission and observation with IV antibiotics, warm compresses, and NSAIDs for pain relief. An appropriate outpatient antibiotic choice is clindamycin for 7-10 days.

Resources

All About Vision

“Releasing tears” from the eye is most often associated with crying. But the lacrimal gland constantly releases small amounts of tears to keep the eye lubricated. Whenever you blink, the tears are spread across the eyes, keeping them clean, moist and healthy.

GrepMed

A 4-week-old boy was brought to the emergency department after having drainage from both eyes for 2 days and redness and swelling under his left eye for 1 day...Physical examination revealed a temperature of 38.2°C, purulent drainage from both eyes, and a 1-cm erythematous, fluctuant mass inferior to the medial canthus of the left eye.

StatPearls

Dacryocystitis is characterized as an inflammatory state of the nasolacrimal sac. It is typically caused by an obstruction within the nasolacrimal duct and subsequent stagnation of tears in the lacrimal sac.