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Dacryocystitis
Oculoplasty
Key Points
- •Chronic dacryocystitis is an ABSOLUTE CONTRAINDICATION for elective intraocular surgery - risk of endophthalmitis from infected lacrimal sac
- •DCR (dacryocystorhinostomy) is the definitive treatment for adult NLD obstruction - success rate 90–95% (external) and 85–95% (endoscopic)
- •Congenital NLD obstruction resolves spontaneously in 90% by age 12 months with Crigler massage; probing reserved for persistent cases
- •Bloody reflux on syringing (blood-stained tears) should raise suspicion for lacrimal sac tumour - refer for DCG and biopsy
- •Acute dacryocystitis is treated with oral amoxicillin-clavulanate first, with definitive DCR performed 6–8 weeks after acute infection settles
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17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations