What to do if you have dacryocystitis 5, what to do if you have dacryocystitis

I don't know how long you have time, don't rush to do "rinse or probe", you still have eye drops, levofloxacin or something. See if the inflammation gets better after it clears up. My eyes also got it, and I had some tears at first, so I went to the hospital and asked them to rinse, and when I was done, I said that I couldn't flush it and did it again, and it was completely blocked.

My other eye was also teary a few days ago, and I wanted to go to Tantong again, but I felt that Tantong was too sinful, so I dropped eye medicine, and then the inflammation disappeared and my eye was no longer blocked. I regret the mistake of that eye!! Because the probe must have caused permanent damage to the lacrimal sac wall!

Don't do any surgery, I went to Shanghai to see the ophthalmology department of several hospitals, and people don't recommend surgery, the sequelae are too big!! Unless it gets to the point of bleeding pus! Then it has to be done.

Now there is something implanted with a bulb silicone tube to expand the tear duct, I think it is not mature, and now I am going to be someone else's little white rabbit. Usual care: Prepare clean handkerchiefs, do not use hands or disinfectant tissues, and boil the handkerchiefs frequently!!

Hope it works a little bit for you!

If you want not to leave a scar, you can do a dacryocyst rhinostomy from the nasal cavity with a YAG laser, first use a light guide fiber to enter the lacrimal sac through the lacrimal tubule for illumination, observe from the nasal cavity to determine the location of the lacrimal sac, and use the yag argon laser to remove the nasal mucosa, bone wall and inner wall of the lacrimal sac to form a hole with a diameter of 5 7mm, so that the tears can enter the nasal cavity, eliminate inflammation, and restore the function of tear discharge.

Acute, if an abscess forms it is necessary to cut it open and drain the pus! Otherwise antibiotics**!

For chronic, lacrimal catheterization is the first choice with laser**!

Surgery is not the first choice, the trauma is large, the cost is high, and the ** rate is not advantageous!

(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.

One of the most important ways to treat chronic dacryocystitis: medication.

Various antibiotic eye drops can be used to drop the affected eye more frequently, 4 to 6 times a day. However, it is important to note that before dropping eye drops, the secretions must be squeezed clean before dripping.

The second method of chronic dacryocystitis: lacrimal duct irrigation.

It can be rinsed with normal saline or antibiotics, hormones or enzyme inhibitors, and a small amount of chloramphenicol solution L plus cortisone and 1:5000 chymotrypsin can be injected after irrigation, and nasal diseases should be injected at the same time.

The third method of chronic dacryocystitis: lacrimal duct dilation.

In the case of partial narrowing of the nasolacrimal duct, this method may be used when the discharge is largely absent after a period of lacrimal irrigation. Care should be taken when performing expansion to prevent the formation of false channels that can spread the infection and lead to exacerbation.

The fourth method of chronic dacryocystitis: surgery.

Surgical methods can be selected according to the specific situation of the patient, and the main methods are lacrimal sac-nasal anastomosis and dacryocystectomy. In the case of simple mucocele, nasolacrimal duct anastomosis should be the principle. If the lacrimal sac is too narrow, or the patient is old and frail, or there is severe scarring, inflammation of the tissue around the lacrimal sac or purulent inflammation of the ethmoid sinus, malignant tumor, corneal inflammation, internal ophthalmitis, ocular trauma, etc., the dacryocystectomy can be performed.

Inferior lacrimal duct obstruction is less effective with nasolacrimal duct anastomosis. There is also threading.

Hello, glad to answer for you. **Policy.

Removing the dacryocyst infection foci and establishing an intranasal drainage channel is the basic principle of the first day.

Drugs**. Topical drops of various antibiotic eye drops, 3 to 4 times a day, squeeze and empty the lacrimal sac secretions before dropping, so that the liquid can be inhaled into the lacrimal sac; With systemic sulfonamides or antibiotics, purulent discharge may disappear but cannot relieve obstruction and retention as preparation for surgery.

Surgery**. 1.Lacrimal intubation: Lacrimal intubation may be considered in patients with a nasolacrimal duct occlusion. The tear duct is explored, then the tear duct is dilated, and the tear duct is inserted.

2.Lacrimal sac-nasal anastomosis: The local nasal mucosa and the lacrimal sac are surgically anastomosed together to create a channel for draining tears.

3.The indications for lacrimal sac extraction should be selected according to the situation: patients with atrophic rhinitis, lupus, tuberculosis, syphilis, inflammation of the tissue around the lacrimal sac or purulent inflammation of the ethmoid sinus, malignant tumors, corneal inflammation, internal ophthalmitis, ocular trauma, etc. should be considered first.

Hello, according to what you said, it should be lacrimal duct disease, such as dacryocystitis surgery, and the lacrimal sac nasal anastomosis can be discharged from the hospital about 4-5 days after surgery.

Attending physician Ji Peng, Eye Hospital Affiliated to Shandong University of Traditional Chinese Medicine-Department of Ophthalmology.

Judging from your description, the pathogenesis of dacryocystitis is relatively complex, which may be related to genetics, poor eye hygiene, and occlusion of the tear ducts. It is recommended to choose the ophthalmology department of a regular hospital to do lacrimal duct irrigation, and first judge, if the diagnosis is dacryocystitis, it is generally recommended to be hospitalized for surgery**, nasal dacryocystostomy can be used, the effect is still good, and the effect of the drug is not good in general.

Gypsum-based heat-clearing and detoxification Chinese medicine or Chinese patent medicine can be taken orally, and topical ofloxacin eye drops or levofloxacin hydrochloride eye drops can be used at the same time. Of course, everyone's physique is different, so go to the hospital to see what to pay attention to.

Acute dacryocystitis the**:

**The principle is to control infection and relieve pain. Antibiotic eye drops and systemic antibiotics.

Chronic dacryocystitis**:

After the inflammation is controlled, surgery** is performed to re-open the blocked tear duct. The most common surgical procedure is nasal lacrimal sac anastomosis.

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.

The main symptoms of dacryocystitis are increased discharge and tearing. Antibiotic eye drops and tear duct irrigation are commonly used, but this method only temporarily reduces symptoms, and surgery is necessary to complete it. It is recommended to go to the hospital for a detailed examination to see which technique is suitable, and the lacrimal sac-nasal anastomosis is suitable for patients with normal punctation and lacrimal ducts.

Dacryocystitis is caused by nasolacrimal duct obstruction, tear retention in the lacrimal sac and secondary bacterial infection caused by trachoma, sinusitis, tuberculosis and other reasons. Frequent tearing, blurred vision, burning sensation in the eyes, etc., pressing the lacrimal sac with fingers, often pus or mucus flowing from the tear spot. In acute dacryocystitis, the lacrimal sac area is red, swollen, painful, and purulent after a few days, leaving a fistula.

This disease belongs to the category of "canthal leakage" and "eye leakage" in traditional Chinese medicine. It is mostly caused by liver fire, wind heat or heart fire, or kidney yin deficiency, deficiency and inflammation.

Surgery is the best way to go.

What you describe is like dacryocystitis, and dacryocystitis is not something that can be seen by saying it, it should be long-term**, slowly**. Dacryocystitis generally does not require surgery, even if surgery is not guaranteed, it is recommended that you go to this expert to see, I estimate that you will be recommended to do laser, it does not cost much, and you do not need to be hospitalized, but it is like your condition, and you will get better slowly after the interval time, I am the family of the dacryocystitis patient, so it is clearer, I hope you will be soon**.

Generally speaking, it will be OK to do some tear duct irrigation in the early stage, but if it drags on for a long time, it will be more troublesome, and there are disadvantages of blockage and onset again!

There are two types of dacryocystitis: chronic dacryocystitis and acute dacryocystitis.

1) Chronic dacryocystitis always has tears, and there is purulent discharge around the corners of the eyes adhesion. When you press on the corners of your eyes, pus will come out of your tears. This is due to a blockage of the nasolacrimal ducts, which is caused by bacteria entering the lacrimal sac during the continuous appearance of overflowing tears.

**Chronic dacryocystitis can be treated with antibiotics and antiseptic solution to irrigate the lacrimal sac, and if ineffective, surgery**, removal of the dacryocyst or dacryocyst-nasal anastomosis. If left untreated, chronic dacryocystitis can cause acute dacryocystitis, and when the cornea is injured, it can also cause corneal ulcers and lead to blindness.

2) Acute dacryocystitis mostly occurs on the basis of chronic dacryocystitis, and bacteria invade the tissues around the dacryocyst through the lacrimal sac wall, causing acute inflammation, severe pain and a large range of redness and swelling. This acute dacryocystitis ruptures on its own and drains pus, but it can also lead to a dacryocyst fistula, in which a new lacrimal duct is created from the lacrimal sac.

**Acute dacryocystitis can be treated with antibiotics, or incision to drain pus, and daily dressings. When it turns into chronic dacryocystitis, it should be followed according to the method of chronic dacryocystitis.

I'd like to ask you if you did that pipe transplant, right? I would like to ask if this ** rate is particularly large. It is said that the surgery should leave a scar. I've been for years. I haven't paid attention to it. And now it feels particularly annoying.

It's been a long time, it's been a long time, it's been troublesome, and I feel like it's been ** again after I've had surgery, and it's only been a few months.