Symptoms and treatment of dacryocystitis in adults
Dacryocystitis may have acute and chronic course. Often the chronic form is complicated by dacryolitis - it is the accumulation of epithelium, calcium, lipids and protein in the lacrimal sac, therefore, an acute non-infectious dacryocystitis occurs. The clinical picture is manifested by pain, redness and increased size of the lacrimal sac.
With age, people often complain of excessive lacrimation, and this condition is often mistakenly diagnosed by dacryocystitis. It is not worth worrying if there are no tears in the room when it is in the room - this condition develops only in the wind or in the cold season on the street and is called spasmic tearing point.
With the development of dacryocystitis in the tear duct, there are spikes and constrictions - in this condition the nasolacrimal canal remains passable, but ideally the tear is not passed. To eliminate this condition, it is recommended to arrange laryngeal bougaining or otherwise to probe dacryocystitis and perform anti-inflammatory treatment.
Signs of the development of
The disease develops in adults, usually due to complications caused by pathology of lacrimal organs, and takes a chronic course. Symptoms of dacryocystitis in this case are different: from a pronounced course to completely asymptomatic flow. The main manifestations are the following: severe lachrymation, discharge of purulent masses from the affected eye, puffiness of the lacrimal sac and secretion from the lacrimal liquid, when pressed from the lacrimal points, with a purulent or mucous consistency.
If the inflammatory process continues to spread abroad the lacrimal sac, then there is a risk of phlegmon formation, which is characterized by severe puffiness, pain in the inner corner of the eye.
At the initial stage of development, dacryocystitis does not show itself intensively. Patients usually complain only about swelling and a feeling of bursting in a lacrimal sac. But after a while, incessant lacrimation begins, a feeling of discomfort and mild pain are added. In the late stages of the disease, the skin over the lacrimal sac becomes red and becomes highly inflamed.
Without the necessary treatment, dacryocystitis in adults is transformed into an abscess and purulent tissue melting begins. This is a serious condition, leading to loss of vision and sepsis throughout the body.
Diagnosis of pathology
During the examination, the severity of the inflammatory process and the presence of additional eye injuries are established.
Diagnosis of dacryocystitis is based on the identification of a typical picture of the disease, taking into account the patient's complaints, information of the external examination, finger examination of the lacrimal sac. The patient with dacryocystitis shows a swelling of the eyes and lachrymation, when touching the affected area the patient complains of pain, and pus appears from lacrimal points.
Color test allows to determine the degree of development of obstruction. To determine the degree and duration of the lesion, diagnostic sounding of lacrimal passages is organized. Passive lacrimal-nasal test allows to confirm the impassability of lacrimal canals - while during washing the liquid does not enter the nose and flows through tear points.
In the complex of methods of ophthalmologic diagnosis of the disease, biomicroscopy of the eye, fluorescein instillation test is used. For a clear idea of lesions in lacrimal canals, a contrast radiography using iodolipol solution is necessary. Such diagnostics also allow to establish the localization of the area of injury and constriction. To identify the pathogens of microbial infection for laboratory testing, tear points are taken, and bacteriological culture is carried out.
For the final diagnostic diagnosis of dacryocystitis the patient should be examined by an otolaryngologist and performed a rhinoscopy. Depending on the indications, consultations are held with the following specialists: dentist, traumatologist, neurosurgeon and neurologist. Differential diagnosis involves the exclusion of pathologies such as erysipelas and conjunctivitis.
Organization of treatment for
Treatment of dacryocystitis in adults is mainly carried out using conservative methods. Do not engage in self-medication, as the symptoms of this pathology can easily be confused with conjunctivitis and only harm your own health. If you find even the slightest signs of illness, you should immediately consult a doctor with an ophthalmologist who will explain how to treat dacryocystitis. For positive predictions of therapy, you should visit a specialist as soon as possible.
The treatment process begins immediately after the diagnosis is made. Usually, first of all, antibacterial treatment is organized, accompanied by washing of lacrimal canals. If seven to ten days after treatment there is no improvement, then a procedure for sensing the lacrimal nasal canal is indicated. If there is no positive result, the procedure is repeated again.
Homeopathy with dacryocystitis is very effective, especially when pathology has a directly inflammatory origin, does not require bougieering and removal of mechanical obstructions in the canalization channel. Homeopathy is effective both in the acute course of the disease and in preventing the development of exacerbation. Only an experienced homeopath has the right to choose suitable medications for the treatment of dacryocystitis.
Often it is resonant homeopathy that allows you to stop taking antibiotic medications, because homeopathic remedies can eliminate the infection itself and also block the factors that contribute to its further development. The use of homeopathic treatment not only fights the disease, but also produces recovery of secondary abnormalities that have developed over the long period of the problem's existence.
It is important to remember that the success of any therapy against dacryocystitis in most cases will depend on the rate of pathology detection. The earlier the doctor diagnoses the disease, the greater the probability of successful recovery on the basis of washing without using probing.
In advanced cases of dacryocystitis, the most suitable method of treatment in an adult is surgical intervention in the course of the disease. The main operation for the treatment of dacryocystitis is bougie - that is, the restoration of normal lachrymation along the nasolacrimal path. Another type of surgery is dacryocystorinostomy. The essence of this intervention is to create a new way of communication between the nasal cavity and the lacrimal sac.
Prognosis and prevention of
As a rule, the prognosis of dacryocystitis remains favorable. The consequence of the development of such complications as a corneal ulcer can be a thorn, which is a noticeable cosmetic defect and provokes a persistent deterioration in the work of the visual organs. In the case of perforation, the development of endophthalmitis and subatrophy in the eye begins.
Prophylactic treatment of dacryocystitis requires timely therapy of pathologies of the ENT organs, prevention of trauma to the eyes and skeleton of the face.