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Updated: May 11, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

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Bilateral sequential bacterial dacryoadenitis with abscess- a case report.

Lydia Lam¹, James Pietris², Clare Quigley²

¹The University of Adelaide, Adelaide Medical School, Adelaide, SA, 5005, Australia. lydia.lam@student.adelaide.edu.au.

BMC Ophthalmology

|April 18, 2025

Summary

This summary is machine-generated.

Bacterial dacryoadenitis, inflammation of the lacrimal gland, rarely occurs bilaterally. This case details a unique instance of sequential bilateral bacterial dacryoadenitis with recurrent abscesses, emphasizing prompt diagnosis and surgical management.

Keywords:

Abscess Bacterial dacryoadenitis Orbital cellulitis

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Area of Science:

Ophthalmology
Infectious Diseases

Background:

Acute dacryoadenitis is typically viral, with bacterial infections being rare.
Common bacterial pathogens include Staphylococcus and Streptococcus species.
Bilateral sequential dacryoadenitis has not been previously reported.

Purpose of the Study:

To describe a unique case of bilateral sequential bacterial dacryoadenitis.
To highlight the diagnostic and management challenges of this rare condition.

Main Methods:

Case report of a 54-year-old immunocompetent female.
Presentation with unilateral periorbital swelling, erythema, and pain.
Diagnosis confirmed by orbital CT showing lacrimal gland abscess; cultures were negative.
Management involved intravenous antibiotics and surgical drainage, with subsequent recurrence.

Main Results:

The patient developed sequential bilateral lacrimal gland abscesses.
Cultures remained negative despite recurrent infections.
Recurrences occurred despite antibiotic treatment and surgical intervention.

Conclusions:

This is the first reported case of bilateral sequential bacterial dacryoadenitis with abscess formation.
Prompt diagnosis and management, including surgical intervention, are crucial.
Effective management strategies are needed to prevent complications and recurrences.