Ocul Dis-Lacrimal

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Author:
Alicat38
ID:
177368
Filename:
Ocul Dis-Lacrimal
Updated:
2012-10-13 14:29:36
Tags:
Lacrimal
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Description:
Lacrimal
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  1. Differential Diagnosis: Acute dacryocystitis and chronic dacryocystitis
    • Acute: pain in medial canthus, sudden onset, marked epiphora
    • Chronic: painless, conjunctivitis, mucopurulent discharge when sac is pressed, epiphora
  2. Mx of acute dacryocystitis
    • –oral antibiotics + warm compresses
    • –stab incision may be required
    • –NO D & I OR PROBING (don't want bacterial infection to spread)
  3. Chronic Dacryocystitis Mx:
    • –remove the obstruction by dilation and irrigation (D&I)
    • –if fails to respond then DCR (dacryocystorhinostomy)
  4. Dacryoadenitis
    def'n
    Sxs
    • Inflammation of the lacrimal gland -> swelling in lacrimal fossa
    • •Reduced tear secretion•Pain•Redness•S-shaped ptosis
  5. Causes of Dacryoadenitis
    • -Mumps
    • -Other viridae (measles, influenza, mono)
    • -Bacteria (gonorrhoea, Staph., Strep.)
    • -Fungi & parasites (rarely)
    • -Sarcoidosis–chronic in Afro-Caribbeans
  6. Mx of dacryoadenitis
    -acute?
    -viral?
    -bacterial?
    • -Acute: NSAIDs or systemic corticosteroids
    • -Viral: rest, ice, oral analgesics
    • -Bacterial: mild -oral antibiotics, Severe -hospitalize + i.v. antibiotics (monitor for orbital cellulitis)

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