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Acute dacryocystitis secondary to exudative rhinitis
S H Goldberg1, F G Fedok, A A Botek
1Department of Ophthalmology, Penn State University, College of Medicine, Hershey 17033.
Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1993
Summary
Acute dacryocystitis can arise from exudative rhinitis, causing nasolacrimal duct obstruction. Prompt treatment of nasal inflammation resolves this condition without lasting effects.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Acute dacryocystitis typically presents with infection of the lacrimal sac.
- Nasolacrimal duct obstruction can lead to dacryocystitis.
Observation:
- An 18-year-old male presented with acute left dacryocystitis without prior history.
- Nasal examination revealed mucosal edema, lymphoid hyperplasia, and exudate obstructing the left nasolacrimal duct ostium.
Findings:
- The patient's dacryocystitis and nasolacrimal duct obstruction resolved within two weeks with systemic antibiotics and nasal decongestants.
- Epstein-Barr virus was serologically suggested as the cause of the exudative rhinitis one year later.
Implications:
- Acute intranasal inflammation, such as exudative rhinitis, can cause nasolacrimal duct obstruction and secondary dacryocystitis.
- This condition is treatable and resolves without sequelae upon successful management of the underlying rhinitis.