inflammation of lacrimal sac

2. DACRYOCYSTITIS
• Inflammation of lacrimal sac
• Often caused by obstruction of
naso-lacrimal duct
• Followed by bacterial infection.

3. ANATOMY- Lacrimal apparatus

5. TYPES
ACUTE CHRONIC
ACQUIRED CONGENITAL
CLASSIFICATION

6. CAUSES
• NLD block due to narrowness or chronic
inflammation of sac .
• Nasal polyps .
• Following primary conjunctivitis .
• Infection spreading from nasophraynx .
• Organisms responsible : Pneumococcus ,
streptococcus , staphylococcus , mycobacterium ,
etc ,...

7. ACUTE DACRYOCYSTITIS
 RISK :
 Older patients bcoz lacrimal drainage system loses its
elasticity
 Poor hygiene
 SYMPTOMS :
 Pain
 Redness
 Swelling over inner aspect of lower eyelid
( can lead to orbital cellulitis )

8. Acute

9. CHRONIC DACRYOCYSTITIS
 RISK :
 Postmenopausal women – spontaneous or follow
lacrimal sac infection .
 Infants – bcoz of failure of NLD to open into inferior
meatus .
 SYMPTOMS :
 Watering
 Mucopurulent discharge
 Regurgitation of pus / mucopus through puncta on
pressure over the sac area .

10. CHRONIC

11. COMPLICATIONS
• Fistula formation
• Lacrimal sac abscess
• Orbital cellulitis
• Meningitis
• Cavernous sinus thrombosis

12. TREATMENT
 ACUTE :
• Systemic antibiotics
• Warm compresses and gentle massage
• Local incision drainage if abscess formed .
 CHRONIC :
• Repated syringing
• Dacryocystorhinostomy
• Dacryocystectomy

13. THANK YOU