Skip to main content

what is chronic Dacryocystits?

Definition:- It is an inflammation of Lacrimal sac due to the chronic obstruction of Nasolacrimal duct(NLD). 
Causes:- the main cause of chronic Dacryocystits is obstruction of NLD.
Causes of NLD obstruction:-
1. Foreign bodies
2. Stagnation of tears in tear sac
3. Recurrent conjunctivitis may block NLD by        epithelial debris and mucous plug. 
4. Nasal polyp 
5. Deviated nasal septum(DNS) 
6. Tumour
7. Infection (streptococcus, staphylococcus,          pneumococcus) 
Clinical features (C/F):- clinical features of Chronic Dacryocystits may be divided 4 stages. 
1. Stage of chronic Cattarhal Dacryocystits
2. Stage of Lacrimal Mucocele
3. Stage of chronic Suppurative Dacryocystits
4. Stage of chronic Fibrotic Sac

1. Stage of chronic Cattarhal Dacryocystits:-
    a. Watery eyes
    b. Regurgitation test:- clear or mucoid fluid            discharge from lower puncta
    c. Dacryocystography:- reveals blockage of            NLD

2. Stage of Lacrimal Mucocele:- 
    a. Constant epiphora
    b. Regurgitation test:- milky or mucoid fluid            discharge from lower puncta. 
    c. Dacryocystography:- reveals blockage of            NLD
    d. Encysted Mucocele:- if opening of                        Canaliculi blocked.

3. Stage of chronic Suppurative Dacryocystits:-
    a. Epiphora
    c. Recurrent conjunctivitis Amd swelling at            inner canthus
    c. Regurgitation test:- purulent discharge                from lower puncta
    d. Encysted Pyocele:-  if opening of both                Canaliculi blocked.

4. Stage of chronic Fibrotic Sac:- 
     a. Low grade repeated infection causes small fibrotic sac. 
     b. Dacryocystography:- Reveals very small sac with irregular folds in the mucosa. 

Complications:-
1. Conjunctivitis
2. Acute or chronic Dacryocystits
3. Corneal ulceration

Treatment:-
1. Conservative treatment:- Syringing and              probing
2. Ballon catheter dilation
3. Dacryocystorhinostomy(DCR) Operation of        choice
4. Dacryocystectomy(DCT) 


Comments

Post a Comment

Popular posts from this blog

What is Boil? treatment of Boil?

Definition :- it is an infection of hair follicle caused by staphylococcus aureus.  Causative organism:- Staphylococcus aureus Common site :-  1. Face 2. Head 3. Neck 4. Back 5. Axilla Pre disposing factors :- 1. Diabetes Melitus 2. Poor hygiene 3. Low immunity Clinical features :- 1. Painfull red indurated swelling 2. Tenderness 3. Oedema 4. Small pustule 5. If burst greenish discharge found Fate :- 1. Resolve 2. Abscess formation 3. Septicaemia 4. Pyemia 5. Cavernous sinus thrombosis Complications :- 1. Cellulitis 2. Infection of the regional lymph nodes Investigation :- 1. CBC 2. ESR 3. Blood sugar Treatment :- 1. Maintain hygiene 2. Improve general health 3. Remove the affected hair 4. Antibiotics- if multiple boils found usually not required.  5. After escape of pus the part should be clean 6. If recurrent boil appear exclude the diabetes
Post a Comment
Read more

Importance of regular exercise

Regular exercise is a crucial aspect of a healthy and fulfilling lifestyle. Not only does it provide a variety of physical health benefits, such as increased strength,endurance, and flexibility, but it also has numerous mental health benefits. In fact, a regular exercise routine has been shown to be one of the most effective ways to improve mood and reduce stress and anxiety. One of the most significant benefits of regular exercise is that it can help prevent chronic diseases like heart disease, type 2 diabetes, and certain types of cancer. It does this by improving circulation, boosting the immune system, and helping to maintain a healthy weight. Exercise can also lower blood pressure and cholesterol levels, reducing the risk of heart disease. In addition to physical health benefits, regular exercise can also improve mental health. Exercise releases endorphins, which are the body's natural "feel-good" chemicals, causing a boost in mood, and reducing symptoms of depressio
Post a Comment
Read more

What is hair fall ?

Hair fall, also known as hair loss or alopecia, refers to the excessive shedding of hair from the scalp and other parts of the body. It Can occur due to a variety of reasons and affects both men and women of all ages. In this post, we will explore the definition, causes, symptoms, management, and prevention of hair fall. Definition: Hair fall is a condition that results in thinning and loss of hair from the scalp and other parts of the body. The hair may fall out in small patches or gradually over time. Causes: There are various reasons that can cause hair fall, which include: 1. Genetics: You are more likely to experience hair loss if it runs in your family. 2. Age: As you get older, your hair naturally becomes thinner and more prone to breakage. 3. Hormonal changes: Hormonal imbalances caused by pregnancy, menopause, or thyroid problems can lead to hair fall. 4. Poor nutrition: A diet lacking in essential nutrients such as protein, iron, and vitamins can cause hair fall. 5. Stress: C
Post a Comment
Read more