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Ophthalmology and Visual Sciences

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Chronic dacryocystitis

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Oculoplastics

Chronic dacryocystitis with draining fistula

chronic dacryocystitis with draining fistula OS -  #2 - another case

This female patient is a candidate for a dacryocystorhinostomy. Observe the peculiar linear reflexes surrounding the opening of the fistula. Similar but much less conspicuous linear reflexex are seen in the previous monocular photo of a draining fistula. As an added note: a vast majority of patients who have tear drainage problems are females over 40 years of age.

chronic dacryocystitis with draining fistula OS -  #2 - another case

Under appropriate magnification, a stream can be easily seen as it flows downward from the summit of the enlarged , chronically inflamed tear sac OS. A dacryocystorhinostomy was performed to correct the problem.

chronic dacryocystitis OS

Finger pressure on the bump over the left lacrimal sac caused a thick mucoid fluid to ooze from the inferior punctum. The chronic dacryocystitis was cured through a dacryocystorhinostomy. Unlike most of the patients with dacryocystitis, this patient was a male.

Ruptured chronic dacryocystitis

ruptured chronic dacryocystitis OS

Spontaneous fistulization through the skin overlying the lacrimal sac at times will satisfy the patient. However,in this case the treatment was a dacryocystorhinostomy with a good result.


Chronic dacryocysitis with abscess formation

chronic dacryocysitis with abscess formation

A case of chronic dacryocystitis in an older female patient who as a further complication developed a pus-filled abscess of the lacrimal sac. Treatment involved intensive antibiotic therapy followed by a dacryocystorhinostomy.

Chronic dacryocystitis: pre-dacryocystorhinostomy

chronic dacryocystitis :  pre-dacryocystorhinostomy

The patient can be identified as a Hindu by the mark above the glabella, the red in the frontal parting of the hair, her jewelry, and her garb with its colors. Red and yellow are favorite Hindu colors while green is a favorite Muslim color.

 


chronic dacryocystitis :  pre-dacryocystorhinostomy

abscess of tear sac




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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 02-08-2008
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