Acute Dacryocystitis: Definition, Clinical Features, Treatment

Acute Dacryocystitis is one of the most common eye diseases in the developing countries in recent years. Here are some important information about this disease:

Acute Dacryocystitis

Definition: Acute inflammation of lacrimal sac is called Acute Dacryocystitis.

Causative organisms: Staphylococcus, Streptococcus, Pneumococcus.


Pain, Redness, Swelling, Watering (Epiphora) at the medial canthus.


  • Very tender, red, tense swelling at the medial canthus.
  • Lacrimal abscess
  • Fistula

Acute Dacryocystitis


Broad spectrum systemic antibiotic (Amoxicillin, Flucloxacillin, Ciprofloxacin)

Systemic analgesic (Diclofenac, Ketorolac)

Then Sac Patency Test is done after subside of the acute condition.

If SPT is blocked, then Dacryocystorhinostomy (DCR).

If SPT is patent, then no Rx.


If Abscess is formed, it is confirmed by: Flactuation Test.

Then drain the pus: by Pressure through puncta/Needle aspiration/Incision & drainage.

Then pus is sent for C/S.

If previous drug responses, then no change.

If previous drug not responses, then changed to sensitive drug.

Then Sac Patency Test is done.

If SPT is blocked, then Dacryocystorhinostomy (DCR).

If SPT is patent, then no Rx.


1. Lacrimal abscess

2. Lacrimal Fistula

3. Osteomyelitis of the lacrimal bone

4. Orbital cellulitis

5. Cavernous sinus thrombosis

Regular taking of medicine is needed to treat this disease.

Thank you for reading this article about acute dacryocystitis.

The Author

Dr. Sujon Paul

Hello! I am Dr. Sujon Paul. I am professionally a doctor, but love to write blogs and update SUJONHERA.COM regularly with fresh contents. Thank you for visiting SUJONHERA.COM. Contact me on Facebook, Twitter & Google Plus. Don't forget to subscribe SUJONHERA.COM on Facebook, Twitter & Google Plus.

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