What is dacryocystitis? What happens when it s serious?

Massage the lacrimal cyst with your fingers downward, if the cyst disappears suddenly, it means that the residual membrane has been punctured and healed. If it is conservative for more than 6 months**, including repeated massage, it is still ineffective, and it can be washed and dripped with antibiotics and then probed with a probe, and most of them can be cured. If there is peridacryocystitis, it should be treated as acute dacryocystitis first.

Dacryocystitis is simply watery eyes.

That benevolent brother, the search is really fierce

Acute dacryocystitis infection can evolve into orbital cellulitis or even sepsis leading to death is a more serious disease, and it is not easy to **,**, first of all, to control the infection, systemic antibiotics, for mild patients can be given penicillin or cephalosporin antibiotics orally, moderate to severe patients, patients with fever need to be given cephalosporin antibiotics intravenously.

Then apply topical antibiotic eye drops. Patients with chronic dacryocystitis undergo nasal lacrimal sac anastomosis, and lacrimal irrigation or lacrimal duct exploration is contraindicated in the acute stage to avoid the spread of inflammation.

Dacryocystitis refers to a series of clinical symptoms caused by the inflammatory reaction of the lacrimal sac of the eye to streptococcal infection, which usually appears in patients with chronic conjunctivitis and trachoma, and patients usually have symptoms such as redness, swelling, tearing, pain, and pus.

Dacryocystitis is an acute or localized chronic inflammation caused by bacterial streptococcal infection. Dacryocystitis is associated with trachoma, chronic conjunctivitis, chronic rhinitis and long-term obstruction of the nasolacrimal duct. Clinical symptoms include, the lacrimal sac area is inflammatory, and the symptoms of redness, swelling, heat and pain may be present, or facial swelling, tearing in the eyes, purulent discharge from the tear spots, and swelling and tenderness of submandibular lymph nodes behind the ear.

**Method: 1. Antibiotics should be used to reduce inflammation**.

2. Tear duct irrigation**.

3. Tear sac excision**.

4. Lacrimal sac nasal anastomosis surgery**.

We know that although dacryocystitis is not a serious disease, many patients with dacryocystitis will find that their eyes are often inflamed in their daily life. Because dacryocystitis itself is an infectious disease, although it is not a major disease, but if it is not actively carried out, it can easily lead to infection in other parts of the eye, such as conjunctivitis, which is also the most common. In this case, do not rub your eyes frequently, and it is best to use anti-inflammatory eye drops, such as levofloxacin eye drops and tobramycin eye drops.

But in daily life, many people habitually rub their eyes with their hands, such as the eyes have a lot of tears or a lot of secretions, they like to wipe with their hands, in this case, there are a lot of bacteria and viruses on the hand balance code, and if you wipe the eyes, this will lead to a kind of cross-infection, so you must develop a good eye habits and eye hygiene when you think about the flat mold, you can rinse with clean gauze, you can rinse with a lot of water, This can effectively prevent the onset of dacryocystitis inflammation.

Chronic dacryocystitis is the obstruction of the tear duct caused by inflammatory lesions of the lacrimal sac and its surrounding tissues, and chronic obstructive inflammation of the lacrimal duct is the main cause. There are two types of the disease: acute dacryocystitis and chronic dacryocystitis, both of which have the potential to cause tear duct obstruction.

What are the symptoms of chronic dacryocystitis? Chronic dacryocystitis is mainly caused by the obstruction of the tear ducts, and the tears are not received in time after overflowing** and cause an inflammatory response. In addition, long-term nasolacrimal duct stenosis and increased discharge are also causes of lacrimal sac blockage.

Patients will have uncomfortable symptoms such as puffy eyelids and increased eye droppings at the onset of the disease.

Patients with chronic dacryocystitis may have edema in the eyes, mostly in the sunken eyelids. Especially when sleeping at night, the eye** is closely connected to the eyelid tissue, so when the eyelid swelling is severe, it is easy to cause the eye to be covered by foreign bodies in sleep. In addition, patients are prone to uncomfortable symptoms such as increased discharge, tearing, and increased eye feces, which is more pronounced when exerted or overworked.

In addition, the patient's eye area will also darken more of the white area of the eye. In severe cases, if the upper part of the eyelid** is necrotic or infected, the upper part of the eyelid** will gradually darken. If the patient's condition is severe, the surrounding tissues may be seen to be dark and swollen.

If you suffer from chronic dacryocystitis, tears will not flow out, and symptoms of increased eye droppings will appear. Patients may feel an increase in eye droppings, which are usually yellow or yellowish. This is even more noticeable when you wake up early in the morning.

If you find that you also have more eye droppings when you get up every morning, you should go to the hospital in time to check your condition. If the condition is severe and surgery is required**, some anti-infective drugs should be used under the guidance of a doctor to control the condition. In addition, it should be noted that dacryocyst disease cannot be treated casually, and the situation will generally improve after medication.

Good lifestyle and eating habits should also be developed to prevent the occurrence of diseases.

There are many causes of nasolacrimal duct stenosis, among which the most common cause of acute dacryocystitis is caused by the inflammatory reaction of the tissues around the lacrimal sac, such as acute infection, local infection of nasolacrimal duct, etc. In people with chronic dacryocystitis, the nasolacrimal duct can become narrow or even occluded. In such patients, lacrimal cysts and nasolacrimal duct stenosis may occur when the tear duct obstruction is severe.

When this condition is severe, it can lead to nasolacrimal duct stenosis or even obstructive dacryocystitis. Due to the wide range of lesions, patients may have severe nasolacrimal duct blockage, increased tearing, aggravated foreign body sensation, and increased nasal discharge. These patients may have nasal congestion in addition to tearing discomfort.

You can tell if you have dacryocystitis by your symptoms. Dacryocystitis is an infectious disease of the lacrimal sac, and the symptoms are related to the condition, as follows: 1. Acute dacryocystitis:

The patient had severe redness, swelling, pain, tearing, and pus at the base of the nose. 2. Chronic dacryocystitis: Abnormal tearing symptoms occur indoors or outdoors, and there will be increased eye discharge, and viscous or purulent discharge may occur.

Squeezing the lacrimal sac causes a reflux of viscous discharge.

It is mostly manifested as lacrimation, with more secretions from the eyes, and a large amount of purulent or serous discharge gushing out from the tear puncts can be seen when squeezing the affected tear sac area, and the irrigation of the affected tear duct is not smooth. 1. Lacrimation, conjunctival hyperemia in the medial canthus, and eczema is common. 2. Squeeze the lacrimal sac with your fingers, and mucus or purulent discharge flows out from the tear spot.

3. Due to the accumulation of a large amount of secretions, the lacrimal sac gradually expands, and the lower part of the medial canthal ligament is a sac-like bulge. 4. When the lacrimal sac is flushed, secretions can be seen flowing out.

To determine whether you have chronic dacryocystitis, you should first look at whether you usually have a large amount of discharge from your eyes, and the symptoms of chronic dacryocystitis are tearing, eye redness, and eye membrane congestion.

Check if you have chronic dacryocystitis to see if your eyes are often red, the symptoms of chronic dacryocystitis are: easy tearing, and a large amount of discharge from the eyes.

The main cause of chronic dacryocystitis is a bacterial infection. However, the premise of bacterial infection is that the patient's tear duct is narrowed or blocked, which can easily lead to bacterial retention in the local narrow tear duct, therefore, secondary bacterial infection.

And in general, when chronic dacryocystitis occurs, patients will mainly have obvious tear overflow. If the lacrimal sac area is pressed, a purulent substance is secreted. In addition, patients with chronic dacryocystitis are more likely to induce intraocular inflammation by bacteria passing through the lacrimal duct to infect conjunctival tissue.

Therefore, the presence of chronic dacryocystitis, which is a contraindication to internal eye surgery, is generally excluded before surgery.

In chronic dacryocystitis, in addition to pus from the corners of the eyes, patients generally do not have other uncomfortable symptoms such as pain, redness and swelling, and do not affect vision, so it is easy to be ignored, and many patients do not accept it in time. In fact, this will bury a big hidden danger.

If the tear duct is blocked or narrowed due to inflammation, trauma, foreign body, etc., the tear drainage is blocked, and a large amount of tears accumulates in the lacrimal sac, which will cause a large number of bacteria to multiply, resulting in chronic dacryocystitis.

There is a tube between the corner of the human eye and the nasal cavity, called the lacrimal duct, which is composed of lacrimal dots, lacrimal tubules, common lacrimal ducts, lacrimal sacs, and nasolacrimal ducts from top to bottom, and its function is to drain tears. If the tear duct is blocked or narrowed due to inflammation, trauma, foreign body, etc., the tear drainage is blocked, and a large amount of tears accumulates in the lacrimal sac, which will cause a large number of bacteria to multiply, resulting in chronic dacryocystitis.

Suffering from chronic dacryocystitis, in addition to pus from the corners of the eyes, patients generally do not have pain, redness and swelling and other uncomfortable symptoms, and do not affect their vision, so they are easy to be ignored, and many patients do not accept it in time. In fact, this will bury a big hidden danger, because the pus-filled lacrimal sac is like a reservoir of bacteria, and bacteria can infect the eyeball at any time, which may cause irreparable damage. In addition, chronic dacryocystitis may also have an acute attack, causing inflammation of the tissues around the lacrimal sac, local pain, redness, swelling, and even general fever and malaise.

In severe cases, it can also form"Lacrimal sac fistula"This kind of fistula has long-term pus and is difficult to complete.

Chronic dacryocystitis is a great threat to some eye surgeries (such as: glaucoma surgery, cataract surgery, myopia eye surgery, etc.), which can cause serious infections after surgery, so such patients must have chronic dacryocystitis before surgery before the above surgery. Moreover, chronic dacryocystitis may have an acute attack, causing inflammation of the tissues around the lacrimal sac, local pain, redness, swelling, and even general fever and discomfort.

In severe cases, the dacryocyst abscess will form a "lacrimal cyst fistula" from the puncture, which is a long-term pus drain and cannot heal on its own, and it is difficult to completely drain it. Therefore, pus from the corners of the eyes should not be taken lightly, and it should be taken as soon as possible.

Acute dacryocystitis is mostly transformed from chronic dacryocystitis, which means acute attack, but there are also patients who start with acute primary bacterial infection. 1.Local:

The local tissue of the lacrimal sac manifests as acute cellulitis, hyperemia, swelling, fever and severe pain, and in severe cases, it can cause swelling of the upper and lower eyelids and the bridge of the nose, conjunctival hyperemia and edema, and aggravated tearing, followed by the formation of an abscess, which may fluctuate, and if it is punctured, a fistula will be formed. After the inflammation subsides, the fistula is passed and the pus is drained through the sieve or nasal cavity.

(1) For cases where the nasolacrimal duct is not completely blocked soon after the disease, antibiotic eye drops, 4 6 times a day, before the drug, squeeze out the secretions, do tear duct irrigation, and inject a small amount of chloramphenicol solution L plus cortisone and 1:5000 chymotrypsin after irrigation, and at the same time should ** nasal disease.

2) If the nasolacrimal duct is only partially narrowed, lacrimal duct exploration or nasolacrimal duct intubation can be tried.

3) If the lacrimal punctum and lacrimal tubule are normal, lacrimal sac-nasal anastomosis can be performed.

4) If the lacrimal sac is too narrow, or the patient is old and frail, or if there is severe scarring after the injury, the dacryocystectomy can be performed.