Clinical Outcome of Probing in Infants with Acute Dacryocystitis – A Prospective Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Introduction: Acute dacryocystitis is an uncommon but serious condition in infants and needs immediate treatment. Although, medical management with systemic antibiotics remains the mainstay of initial treatment, there are recent studies justifying simultaneous Naso Lacrimal Duct (NLD) probing with acceptable success rate. Aim: To assess the success rate of probing in the management of infantile acute dacryocystitis and to analyse the factors affecting it. Materials and Methods: A prospective interventional study was designed and infants presenting with acute dacryocystitis with or without complications like dacryocystopyocele/ lacrimal abscess/preseptal cellulitis at a Tertiary Eye Care Centre from May 2014 to April 2016 were enrolled. Demographic details and baseline clinical characteristics were noted. Intravenous antibiotics were started and probing under general anaesthesia was done. Follow up was done after one month. Success was defined as subsidence of acute attack and resolution of epiphora at final follow up of one month. Results: A total 20 eyes of 18 patients were included with male: female ratio 10:8. Mean age of patients was 6.5 months and the mean duration of symptoms was 5.6 days. Dacryocystitis with lacrimal swelling was present in five eyes, preseptal cellulitis was present in two eyes while the rest 13 eyes presented with simple inflammation over the lacrimal sac. After one month, 85% (17eyes) had complete resolution of symptoms. Recurrence of epiphora was seen in 15% (three eyes) after initial improvement. Conclusion: Medical management with simultaneous probing of nasolacrimal duct has fairly good success rate in infantile dacryocystitis. Presence of dacryopyocele or dacryocystocele can lead to failure of probing owing to presence of intranasal cysts
Authors and Affiliations
Bhawesh chandra saha, Rashmi kumari, Bibhuti Prasanna Sinha
Keywords
Related Articles
- EP ID EP358741
- DOI 10.7860/JCDR/2017/29033.10295
- Views 53
- Downloads 0
Validity and Reproducibility of Digital Models Obtained by Cone Beam Computed Tomography Imaging
ABSTRACT Introduction: Impression making and fabrication of plaster models serve as a basis for documentation, diagnosis and treatment planning. Model analysis is used routinely in orthodontics and is a key factor for tr...
Basal Cell Adenoma Arising in the Minor Salivary Gland of the Hard Palate
ABSTRACT Basal Cell Adenoma (BCA) is an extremely rare benign salivary gland tumour that usually arises in the parotid gland. The incidence of BCA is 1%-3% of all salivary gland tumours. Here, we report an extremely rare...
Body Mass Index and Weight Loss Efforts in Middle-Aged Saudi Women: The Mediating Role of Body Appreciation
ABSTRACT Introduction: Body Appreciation (BA) is the most widely used measure of positive body image and assesses an overall positive orientation to the body. Little is known about BA among Saudi middle-aged women relate...
An Update on Recurrent Early Pregnancy Loss: Causes, Controversies and Cure
ABSTRACT Recurrent Pregnancy Loss (RPL) is an important reproductive issue, affecting 1-5% of couples. It is characterised by repeated miscarriage, impairing the ability to have a live birth. The proven causes are diver...
SEM Evaluation of Enamel Surface Changes and Enamel Microhardness around Orthodontic Brackets after Application of CO2 Laser, Er,Cr:YSGG Laser and Fluoride Varnish: An In vivo Study
Introduction: One of the most undesirable consequences of orthodontic treatment is occurrence of enamel demineralization around orthodontic brackets. Numerous in vitro studies have reported the prevention of enamel demin...