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Dacryocystitis and Dacryoadenitis Updated 12/2010

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BASICS

  • Description
  • Epidemiology
  • Etiology—Dacryoadenitis
  • Etiology—Dacryocystitis

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations
The following is an excerpt....
BASICS
Description
  • Dacryoadenitis and dacryocystitis are inflammatory conditions affecting the lacrimal system of the eye:
    • Dacryoadenitis is inflammation or infection of the lacrimal gland from which tears are secreted.
    • Dacryocystitis is an infection within the lacrimal drainage system.
  • Dacryoadenitis may be a primarily inflammatory condition or an infectious process resulting from contiguous spread from a local source or systemic infection.
  • Dacryocystitis is a suppurative infection involving an obstructed lacrimal duct and sac.
Epidemiology

More commonly seen on the left:

  • Acquired:
    • The majority of cases occur in woman over 40 yr with peak at 60–70 yr.
    • Rarely seen in African Americans
  • Congenital risks
Etiology—Dacryoadenitis
  • Most commonly caused by systemic inflammatory conditions:
    • Autoimmune diseases
    • Sjögren syndrome
    • Sarcoidosis
    • Tumor
  • Infectious causes ...
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See Also
Images >
Figure 10.80. Acute dacryocystitis is evidenced by a large, tender, swollen, fluctuant erythematous mass arising in the medial canthal area.Credit: From Tasman W, Jaeger E. The Wills Eye Hospital Atlas of Clinical Ophthalmology, 2e. Lippincott Williams & Wilkins, 2001
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