dacryocystitis is a chronic relapsing inflammatory process constantly, which affects the lacrimal sac and its canals.In adults, the disease is considered to be a fairly common and makes up about 10% of cases of disease of the lacrimal organs.Consequences dacryocystitis often disturb the female.The disease can take an acute or chronic, and its direct etiologic factors are trauma, obstruction of nasolacrimal channels, an infectious eye disease and its complications.
Often inflammation of the lacrimal sac develops in infants.This happens due to defective development of tear ducts that provokes the development of obstruction.Often the infection affects a child all over again, but as it grows spontaneously eliminated the problem.
dacryocystitis in adults develops as a complication in case of damage or inflammation of the nasal passages, and often even after the common cold at her the wrong treatment.But the cause remains unknown in most cases of the disease.
causes of pathology
have adult dacryocystitis can be triggered by stenosis or obliteration of the lachrymal passage channel, and usually occurs due to swelling of the surrounding tissue in chronic rhinitis, acute respiratory viral infections, sinusitis, adenoids, nasal bone fractures, damage to the lacrimal points of injury and age etc.
stagnation of tear fluid provoked the loss of its antibacterial properties, which is complemented by bacteria to grow in the lacrimal sac.Over time, the lacrimal sac wall begin to stretch, and in which there is acute inflammation or slabotekuschy process, namely dacryocystitis.The fluid released by lacrimal sacs, loses its activity, does not counteract bacterial contamination and take muco-purulent consistency.
Factors predisposing to formation of dacryocystitis, are deterioration of the immune system, diabetes, professional negative factors and strong fluctuations in ambient temperature.
Symptoms of the disease does not manifest itself dacryocystitis quite pronounced at the first stages of development.Standard features of the disease - is swelling and a feeling of fullness in the lacrimal sac.
after a certain time to the described symptoms added incessant tearing, feeling of constant discomfort and strong pain.When squeezing the lacrimal sac area of it can begin to pus or mucous fluid.In the later stages of disease progression because of the constant tearing the skin in the area under the tearful pouch becomes severely inflamed and red.
Without appropriate treatment organization in the adult self dacryocystitis does not go, so there is the risk of abscess - purulent fusion of tissues in the affected area.This serious pathology, which causes loss of vision or provokes the development of sepsis in the whole body of the patient.
The main signs of dacryocystitis are: the continued tearing, pain, redness and swelling in the inner corner of the eye, and muco-purulent discharge from the eyes.Diagnosis of the disease
disease diagnosed by appearances.The focus is on the severity of the inflammatory process - it helps to choose the right tactics treatment.The specialist can also organize laboratory testing of discharge from the eye in order to establish a specific pathogen.
disease dacryocystitis treatment should be related to the patient's age group or with those which took over the disease process - acute or chronic, as well as its root causes.
Infants with dacryocystitis first shown lacrimal sac area massage to eliminate nasolacrimal duct blockage.This treatment is complemented ointments that suppress the development of infections and antibacterial drops.In the absence of the expected results of a child holding a surgical intervention may be required.
Before performing surgery specialist assigns patients to a massive antibacterial treatment to infectious complications dacryocystitis were unable subsequently to express themselves, including complications of the brain, because the venous blood from the area of the corner of the eye is able to penetrate into the cavityskull.Thus, under certain conditions, there is the risk of purulent forms of encephalitis, or brain abscess.
If necessary, surgery is done to the patient general anesthesia, and the meaning of surgery is to restore full cooperation between the nasal cavity and the cavity of the conjunctiva.
In adults often patency nasolacrimal channels restored by the implementation of the forced rinsing using disinfectants.In that situation, when drug therapy is powerless in the fight against dacryocystitis, organized endoscopic dacryocystorhinostomy.In this case the incisions are not formed by the skin, and from the mucosa of the nasal cavity.More painful, but it is a more reliable option in the absence of the necessary equipment is considered a traditional dakriotsistorinstomiya using ordinary access.The result of the surgery becomes the restoration of normal flow of tear fluid.
neglect and lack of treatment is very dangerous to the development of dacryocystitis, because it can cause the formation of dacryocystitis suppurative complications of character.With time the bacteria led to the development of inflammation in the lacrimal sac may penetrate beyond the boundaries of infection in the body.In the pathological process are involved the surrounding tissue, so is the development of an abscess or cellulitis.Get rid of such consequences dacryocystitis is very difficult, in this connection, it should, as soon as possible to begin his treatment.Complications of the disease
Prolonged or chronic dacryocystitis may cause tension in the lacrimal sac.The inflammatory process can be transformed into an abscess or phlegmon.In turn, such a complication often provokes the melting of tissue, septic inflammation of the membranes of the brain.Such frightening complications occur only in exceptional cases.But doctors prefer to advance safe and already at the first symptoms of the disease symptoms to minimize the risk of any complications in the future.