Indian Journal of Clinical and Experimental Ophthalmology


A clinical study of dacryocystitis


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Article Type : Research Article

Author Details: Chaitra MC*,S Pandu,MS Padmajothi

Volume : 5

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 279

Article End Page : 281


Abstract

Introduction: Dacryocystitis is an inflammation of the lacrimal sac and duct. Epiphora is the most common presentation of chronic dacryocystitis. This clinical study was undertaken to know the mode of presentation of dacryocystitis, spectrum of pathogens and the histopathological picture in chronic dacryocystitis patients who underwent dacryocystectomy.
Materials and Methods: Studied the various modes of presentation of dacryocystitis cases in respect to their distribution of age, sex, occupation, socio economic status, laterality, presenting complaints, clinical types of dacryocystitis and bacteriological study. The patients with gross nasal pathology were excluded from the study.
Results: Out of 60 patients, chronic dacryocystitis were 46(76.7%), acute cases 8(13.3%) and congenital cases were 5(10%). Most commonly seen between 41-50 years of age group and predominately in females (71.7%), house wifes 25(42%), lower socioeconomic status 33(55%), dacryocystitis showed left sided affection 32(53.33%) more than right. The most common presenting complaint was epiphora in 38 patients (63.3%) and common microorganisms were Staphylococcus aureus 24(40%). Histopathological results showed 85.7% non-specific chronic dacryocystitis.
Conclusion: As the nasolacrimal obstructions are the initiating event in establishing infection, it is important to know about microbial organisms responsible for dacryocystitis as it is one of the predisposing factors for postoperative endophthalmitis.

Keywords: Dacryocystitis, Dacryocystectomy, Dacryocystorhinostomy, Epiphora.

Doi :-https://doi.org/10.18231/j.ijceo.2019.067