2017年8月20日星期日

What are the symptoms of dacryocystitis?


(A) acute dacryocystitis Symptoms: often occurs on the basis of chronic dacryocystitis but also tears without history and sudden occurrence. Clinical manifestations of the lacrimal sac skin swelling and tenderness, and to the lower eyelid, nasal and buccal spread; local pain and to the forehead and maxillary radiation; conjunctival hyperemia edema, tears, conjunctival sac mucus secretions Submandibular lymph nodes. Body chills, fever and discomfort. Inflammation can develop around the formation of peripheral lacrimal duct inflammation, and gradually form an abscess. Pus can be discharged from the small tears, or inward into the ethmoid sinus, but mostly by the skin surface ulceration and the formation of fistula. Fistula healing, but often become the next episode of acute attack.

(B) neonatal dacryocystitis symptoms: neonatal nasolacrimal duct at the lower opening usually before the secretion of tears (about 3 weeks after birth) has been through. Such as blocked by the epithelial debris and did not form a pipeline, or because of bone stenosis, nasal deformity, and affect the process of self-piercing, resulting in atresia, and then produce neonatal dacryocystitis.

(C) chronic dacryocystitis symptoms: is due to nasolacrimal duct obstruction, resulting in tears and lacrimal sac secretions retention of a chronic disease, is also more common external eye disease. It is often the source of suppurative corneal ulcers, trauma and postoperative intraocular infection. With normal drainage function of the lacrimal mucosa epithelium of infectious bacteria have a better resistance, but if the nasolacrimal duct obstruction, causing the accumulation of tears and lacrimal sac secretions, making it the habit of bacteria, resulting in dacryocystitis Of chronic inflammation. The incidence of women is higher than that of men. Nasal diseases (such as rhinitis, sinusitis, nasal septum bending, nasal hypertrophy, etc.) is also an important cause of nasolacrimal duct obstruction. A small number of chronic dacryocystitis cases can spread from conjunctivitis. In addition to tears and secretions increased, the general no other symptoms. Oppression of the lacrimal sac, there are mucous secretions from the tears back to the conjunctival sac, which is based on diagnosis. Reflux of the secretions can also be with pus, which contains a large number of bacteria, such as Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus and so on.

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