Dacryocystitis in a Patent Nasolacrimal Drainage System:
Author: Dalal Fatani
Base Hospital / Institution: King Khaled Eye Specialist Hospital
ePoster presentation
Abstract ID: 24-177
Purpose
To assess the occurance of acute dacryocystitis attacks in patient with patent nasolacrimal system and to identify the causes and predisposing factors. We aim to identify different causes of such occurance with different treament modalities suggested in the literature based on different experiences and diagnoses.
Methods
This is a literature review summarizing relevant articles to synthesize the existing knowledge on dacryocystitis, particularly focusing on its occurrence in patent nasolacrimal systems. The keywords used in the search include “dacryocystitis”, “pseudo-dacryocystitis”, “acute dacryocystic retention” and “dacryocystic retention”. We have included all the related articles published in English from 1990 to date. rding the incidence of dacryocystitis in an otherwise patent nasolacrimal pathway is presented in the review.
Results
Acute dacryocystitis in a patent system can stem from diverse causes including the mechanical impaction by dacryoliths, viral infections and anatomical variations. It is believed that these causes lead to transient obstruction to the nasolacrimal excretory system predisposing to secondary infections. Idiopathic temporary dacryocystic retention is also highlighted. This broadens the understanding of dacryocystic retention and highlights the need for careful diagnosis and tailored treatment plans, particularly in cases deviating from the traditional etiological pathways.
Conclusion
Adults are more likely to have acute dacryocystic retension secondary to dacryolith impaction. Pediatric patients with viral infections particulary Epstein-Barr Virus has been shown to cause acute dacryocystic retension without preceeding history of tearing. Anatomical variations can also result in pseudodacryocysitis.
This review calls for more individualized approach to diagnosis and management of patients with acute dacryocystitis. Patency of the nasolacrimal excretory pathway after attacks of acute dacryocystitis should be assessed before the decision of conducting Dacryocystorhinostomy as a way to spare an unnecessary surgical intervention.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Adel | AlSuhaibani | King Khaled Eye Specialist Hospital |
