Lacrimal Duct/Gland Problems

Question 1

What are the 2 main lacrimal duct problems?

Answer 1

• Dacrocystitis
• Congenital lacrimal duct obstruction

Question 2

What is this?

Answer 2

Dacrocystitis

Question 3

What is this?

Answer 3

Dacrocystitis

Question 4

What are the features of dacrocystitis?

Answer 4

• Watering eye (epiphora
• Swelling and erythema at the inner canthus of the eye

Question 5

How do you treat dacrocystitis?

Answer 5

• Antibiotics
• Admit for IV Abx if signs of periorbital/preseptal cellulitis

Question 6

What % of newborns have congenital lacrimal duct obstruction?

Answer 6

5-10%

Question 7

How many cases of congenital lacrimal duct obstruction have it bilaterally?

Answer 7

20%

Question 8

What are the features of congenital lacrimal duct obstruction?

Answer 8

• Watering eye (even if not crying)
• Secondary infection may occur

Question 9

What is the treatment for congenital lacrimal duct obstruction?

Answer 9

Tear duct massage

Abx if secondary infection

Question 10

What is the prognosis of congenital lacrimal duct obstruction?

Answer 10

Symptoms resolve in 99% of cases by 12 months of age.

Question 11

What is this?

Answer 11

Congenital lacrimal duct obstruction

Question 12

What is this?

Answer 12

Congenital lacrimal duct obstruction

Question 13

How is congenital nasolacrimal duct obstruction diagnosed?

Answer 13

A history of tearing and discharge at a very early age is strongly suggestive of a blocked tear duct.

Question 14

What is this?

Answer 14

Congenital lacrimal duct obstruction

Question 15

What is this?

Answer 15

Dacroadenitis - upper and outer

Inflammation of the lacrimal gland (Dacrocystitis is inflammation of the lacrimal sac)