Stenosis and lack of tear ducts. Symptoms of dacryocystitis in newborn children, treatment with blockage and narrowing of a lacrimal canal hiking and new appointments

01.09.2020 Sport

Diseases of tear organs

The blockage of tear canals violates the healthy outflow of the tear fluid. This may lead to the development of the inflammatory process. The disease occurs more often in women (especially older). The causes of the appearance of pathology may be congenital features, injuries, diseases. Symptoms manifests itself stronger as the ailment is developed. Effective methods for the treatment of inflammation of the tear canal are: the use of drugs, bodging, surgical intervention.

Blockage of tear ducts (dacryocystitis) - inflammatory process. It affects the tear canal located between the nasal partition and the inner corner of the eye. As a result of the blockage, pathogenic microorganisms begin to accumulate. Their activation leads to the beginning of inflammation and impaired fluid outflow.

To the reasons for the occurrence of obstruction of the lacrimal channel include:

Congenital pathology pathology. The underdevelopment of the system at birth is manifested in clogging the canal with a tear stopper. The defect may disappear independently in the first months of life. If this has not happened, medical intervention is required.
Non-standard development of skull and face (for example, in patients with Down syndrome).
Age changes. In the people of elderly, there is a narrowing of the tear canals (stenosis), which leads to their blockage.
Infectious diseases and inflammatory processes occurring in the field of organs of vision (chronic eye inflammation, tear canals, nose).
Surgical operations performed in front of the eyes.
Injuries. Various facial damage can affect the bones near the lacrimal channels. Bones are shifted and interfered with a normal fluid outflow.
Tumors on the face. Education arising in the nose, bones, a lacrimal bag can overlap the channel. This happens if the tumors are greatly increasing in size.
The formation of cyst and stones in the drainage system (disturb the outflow).
Medicinal drugs outdoor use. Some eye drops Provocate the obstruction of the tear ducts.
Internal use medicines. Neprivors arises as a side effect of the reception of some drugs (for example, docetaxel - medicines used in the treatment of breast cancer and lungs).
Irradiation. If a person suffered a cancer, during the treatment of which irradiation was used, the risk of blockage development increases.

Eyes will be watched: possible reasons and methods of treatment

2 Symptoms of the disease

The blockage can occur both in one and both eyes. Inflammation of the lacrimal canal in adults is accompanied by the following symptoms:

increased tear;
frequent occurrence of conjunctivitis;
inflammation and swelling in the corner of the eye;
excretion of mucus and / or pus from the eye;
the appearance of blood traces in the tear liquid;
reducing the clarity of view.

On the initial stage Deals manifest poorly. The patient feels discomfort and a feeling of cutting in a lacrimal bag. After some time, against the background of constant tear, severe pain arises and redness of the skin.

Technique massage of the tear canal in newborns

3 Diagnostics

To confirm the preliminary diagnosis, an ophthalmologist examines the patient and prescribes research. These include:

Test with dye. In the eyes of the patient bury the solution with a dye. If within the next few minutes there is a large amount of dye in the eye, this indicates that the channel is scored.
Channel sounding. With the help of a thin tool penetrate the tear canal. The problem can be resolved after the procedure, since the channel in the process of sensing is expanding.
Dacriaocystography. X-ray of the tear canals with the introduction of the coloring substance. With this method, an image of the eye outflow system is obtained.

SHEGREEN SYNDROM: the main symptoms, methods of diagnosis and treatment

4 Treatment

Therapy of the disease depends on the cause provoked its development. To combat illness applies:

1. Antibiotic therapy. If the disease is caused by infection, antibiotics (ciprofloxacin, leftomycetin, erythromycin) are used.

2. Burning. The treatment method is more gentle than surgery. For the procedure use a special probe - buck. It is injected through a tear point. The device eliminates the obstacles mechanically (cleaning) and expands the channels. The method of therapy is painless, but accompanied by unpleasant sensations. Sometimes intravenous anesthesia are made before being a patient. The procedure lasts a few minutes. In running cases, it may be necessary to repetition, it is carried out at intervals in a few days. Sometimes auction is performed using synthetic elastic threads or hollow tubes.

3. Eye drops. Successfully treated the blockage of tear ducts, applying:

Floxal. Drops have antibacterial effect. The active substance included in their composition is an antibiotic offloxacin. In the lower conjunctival bag, you bury one drop to four times a day. Floxal ointment is often used. It is laid under the lower eyelid to three times a day. Allergic reactions are contraindiculated to treat this means.

Gentamicine. Eye drops antibiotics. Apply one or two drops to four times a day. Contraindications include: severe kidney diseases, neurit hearing nerveIncreased sensitivity to the ingredients of the drug.

Ophthalmferon. Antiviral eye drops. You dig by one or two drops to eight times per day during the period of acute inflammation, then - up to three times a day. Among the contraindications, there is an increased sensitivity on any of the components of the drug.

There may be other drops for eyes (furacilin, vitabact, vigamox, tobrax).

5 Radical ways of struggle

Surgical intervention is appointed in advanced cases and if the cause of the fact that the channel inflamed is the formation of a tumor. Operations of two types can be performed:

Endoscopic dacriaocystorinostomy. During the operational procedure, a flexible endoscope with the camera is introduced into the lacrimal duct. With the help of an endoscope in the affected tear canal, an incision is made. The operation is available to patients who have no allergic reactions to anesthesiological agents. The rehabilitation period lasts up to eight days. To eliminate the emergence of inflammatory processes in the cornea, antibiotics are prescribed. The advantage of endoscopic dacriaocystornostomy is that after it does not remain visible scars on the skin, do not damage teat Channels.

Balmonious dacryocytoplasty. Safe operational intervention, which is carried out even to children up to the year. In the tear-nasal channel through the corner of the eye, a thin conductor is administered. It is equipped with a cylinder filled with special liquid. At the location of the blockage, the pressure cylinder expands the problem area of \u200b\u200bthe lacrimal channel, helps to clean it. The device is then removed from the eye. When conducting the procedure, local anesthesia is used. The patient who transferred the balloon dacryocytoplasty, assign the course of antibiotics and eye drops.

6 Massage

Massage of tear canals is part of the complex treatment of the disease. The doctor conducts a patient training technique for massage. After that, the patient can do it independently at home.

When massageing the tear canals, a number of rules are required:

hands should be treated with a special antiseptic solution;
put on internal corneroK century to come out a purulent secret;
remove it with eyes with a cotton disc, moistened in a solution of furaticiline or chamomile chamomile brave;
furaticilina solution drip in the eye (in the inner corner);
massage with the help of index fingers: making peashed moving with your fingers, pressed on a lacrimal bag to six times;
after the end of the massage in the eye, the antiseptic drops prescribed by the doctor.

On the day there are enough four such procedures.

7 Folk remedies

Calando juice has a local irritant effect. This favorably affects the removal of blocking jams from the tear paths, removes the inflammatory process.

For cooking at home you need:

rip out fresh leaves of calanchoe;
rinse and dry them;
put in the refrigerator for two or three days (so that the concentration of beneficial substances has reached its maximum);
squeeze out of the leaves juice;
dilute it with saline in equal proportions;
dial the prepared medicine into the pipette and drip into the nose (ten drops in each nostril).

After the procedure, a long-lasting sneezing is usually begins, which is stimulating the removal of pus.

Timely appeal to the doctor will save from development possible complicationsarising from inflammation of the lacrimal channel (blepharitis, conjunctivitis, keratitis, endophthalmite). IN preventive purposes It is recommended to fully cure inflammatory diseases of the eyes and LOR organs.

When clogging or narrowing the tear-nasal channel in adults, a dangerous eye disease can develop - dacryocystitis. Without proper diagnosis and qualitative treatment, this disease is fraught with irreversible consequences, which in the launched cases can even lead to the death of the patient. Therefore, in this article we will consider all aspects of this disease, symptoms and modern methods Treatment.

What it is?

Dacryocystitis is an infectious inflammatory disease, which is characterized by the lesion of the tears of the eye. As a rule, this disease is most often observed in people aged 30-60 years. In women, this disease is manifested more often due to a narrower anatomical structure Roseal canals.

As a rule, adult defeat with dacryocystitis is always unilateral.

The disease arises due to the blockage of the tear-nasal channel. As a result, the tears liquid accumulates in a tears bag and cannot penetrate out. Due to the violation of the outflow of a tear fluid, active reproduction of microorganisms occurs, which leads to inflammation and formation of the mucous-purulent separated.

Manifestation of dacryocystitis in adults

In adults, the dacryocystitis occurs due to the narrowing and closing of the roseal canal. Due to the narrowing of the channels, the circulation of the liquid is disturbed. As a result, a stagnant telest secret occurs, in which microorganisms begin to actively develop.

The echo of the fabrics surrounding the rose canal occurs as a result of inflammatory diseases of viral or bacterial genesis ( respiratory infections, chronic rhinitis, sinusitis).

The disease can also cause:

fractures of nose bones and orbits;
damage and disruption of the integrity of the tear canal;
nasal cavity polyps;
penetration of garbage, dust and other foreign languages.

Also, the occurrence of the disease may contribute to the following factors:

metabolic disease;
diabetes;
weakening immune system;
allergic reactions;
interaction with hazardous chemicals for organs;
sharp fluctuations in temperature.

Symptoms

When dacryocystitis, the following clinical manifestations arise:

constant tearing;
mucous-purulent emissions from the eyes;
hyperemia and tear meat, conjunctiva and semi-lobby;
swelling of the tears bag;
eye soreness;
narrowing the eye slit;
increasing body temperature;
common inxication of the body.

Dacryocystitis may have acute or chronic form Diseases. Clinical manifestations Forms of the disease vary.

In the acute form of the disease, clinical symptoms appear most brightly. In the field of inflammation of the peeling canals, there is a sharp redness of the skin and painful swelling. The eye cracks due to the edema of the century are strongly narrowed or completely closed. The patient may experience pain in the eye, chills, fever, headache.

Launched stage of dacryocystitis

The chronic form of the disease is characterized by constant tearing and swelling in the field of a lacrimal bag. When pressing the mucinous exudate is released on this area of \u200b\u200bthe tear canals. In the peeling bag area, swelling neoplasm is formed, visually resembling beans. As it is developed, it becomes densely elastic.

Inside the cavity of this neoplasm accumulates the pus, which, when pressed, highlighted outward. With further development of infection, phlegmon phlegmons may occur or fistula.

Diagnostics

In order to identify the disease of the patient, it is necessary to undergo an examination from an ophthalmologist. As a rule, the dacryocystitis is quite easily diagnosed due to the characteristic clinical symptoms. During the examination, the doctor conducts an outer inspection and palpation of a lacrimal bag, conducts a tear-nasal velve sample, an instillation fluorescene sample, radiography of the tear paths.

First of all, the ophthalmologist listens to the patient's complaints and performs an outdoor inspection of the area of \u200b\u200bthe lacrimal bag. When palpation of this area, a purulent secret from the tear tubules should be highlighted.

The most commonly carried out a tear-nasal sample of Vesta. It is one of the most common diagnostic techniques. During this procedure, a collargol solution or a protargol solution also bury the conjunctival bag. These staining substances are used to determine the patency of the tear canal. In the sinus of the nose, a tampon from watts or turgunda is introduced. Traces of coloring substances should appear on the tampon no later than 5 minutes. The delay in the admission of the substance into the nasal cavity or its absence indicates a violation of the tearing-nasal duct.

The degree of passability of the entire tear system, as well as, the level and localization of obligations of oblusting is determined by contrasting radiography. During this diagnostic method, a solution of iodolyipol is used.

If you need to identify microbial pathogens of the dacryocystitis, bacteriological sowing is carried out.

To clarify the diagnosis of the patient, it is necessary to additionally undergo a survey at the otolaryngologist. As a rule, the otolaryngologist with dacryocystitis performs rhinoscopy. Perhaps the patient will be needed, also, consult a dentist, traumatologist, neurologist or neurosurgeon.

As a rule, if dacryocytes without complications - the prediction of the recovery is favorable. Treatment of dacryocystitis, first of all, depends on the form of the disease and the causes of its occurrence.

The process of treating dacryocystitis in general is divided into two parts:

restoration of the pavement of the tear-nasal channel;
anti-inflammatory therapy.

In the treatment of dacryocystitis in adults, there is a bunning and washing of a tearsal-nasal channel with disinfecting solutions, the use of antibacterial droplets and ointments.

Burning is the most common, gentle method of restoring the pavement of the tear-nasal channel. During this procedure, it is possible to physically eliminate the deployment of the tear-nasal channel using a special rigid probe (buck).

Initially, patients suffering from dacryocystitis are prescribed antibacterial treatmentTo avoid infectious complications. This is necessary because when dacryocystitis, there is a possibility of the appearance of the purulent form of encephalitis or brain abscess.

Dacryocystitis in old age

The acute form of the disease is treated in stationary conditions. As a rule, in this case, intramuscular injections are prescribed Bezylpenicillin sodium salt (3-4 times a day) or oral administration tetracycline (4 times a day) sulfadimesin (4 times a day).

If an abscess of the lacrimal bag was formed, it was opened through the skin. Before opening the abscess, systemic vitaminotherapy and UHF therapy are carried out. After opening, the wound drain and washed with antiseptic solutions furatcin, dioxidine, hydrogen peroxide. To prevent further development of infection in the cavity of the conjunctiva antibacterial drops (levomycetin, Miramistin, Sulfacyl sodium, Gentamicin) and antibacterial ointments ( erythromycin, Tetracycline, Floxal).

In addition to local treatment, system antibacterial therapy drugs wide spectrum actions. For this, cephalosporins, aminoglycosides, penicillins are used.

With launched forms of dacryocystitis, when the standard drug treatment is inefficient, is carried out dacryocystoplastic or endoscopic dacriaocystorinostomy.

Endoscopic dacriaocystorinostomy

Endoscopic dacriaocystorinostomy - This is a surgical intervention, which is used for the treatment of dacryocystitis in adults. For the operation, special modern minimally invasive equipment is applied. Dacriaocystorinostomy can be carried out only by patients who do not have an allergic reaction to the anesthesiological preparations. During operation, a special flexible tube is introduced into the tear duct - an endoscope with a microscopic chamber. With the help of an endoscope, a cut in a clogged tear canal is made. Rehabilitation period after surgery - 6-8 days. In order to avoid inflammation of the cornea, appoints the course of antibiotics. The advantage of this operation is that it does not leave visible skin scars on the face and damage to the lacrimal tubules.

Balloon dacryocytoplastic

In most cases, the balloon dacryocystoplasty is used. This is a secure operation that can be conducted even to children from 1 year. When conducting an operation in a tear-nose channel through an angle of the eye, a special subtle conductor is administered, which is equipped with a microscopic expanding cylinder filled with liquid. In the clogged place of the tear-nose channel, the cylinder is expanding and discloses the duct and then removed from the channel. The procedure is carried out under local anesthesia. After the operation, the course of antibiotics is appointed and the use of eye drops to avoid the development of infection.

Complications

Dacryocytes is a rather dangerous disease, since in the absence of treatment can provoke the emergence of various complications.

The chronic form of the disease is especially dangerous. In this case, it is possible to infect other shells of the eye. There is a possibility of developing concomitant diseases - blufaritis, conjunctivitis, keratitis. With the further development of chronic dacryocystitis, the cornea is affected and an purulent ulcer is formed. As a result of the occurrence of the corneal ulcers later, Belmo can develop, which can be not only a cosmetic defect, but also reduce the quality of vision.

Further development of ulcers can also lead to the occurrence of endophthalmite, which is characterized by inflammation of the internal structures of the eye.

An essential complication can be the development of dangerous diseases, which can lead patient to disability or to death:

sepsis;
phlegmon orbit;
thrombophlebitis orbital veins;
cavernous sinus thrombosis;
inflammation brain shells and brain fabric.

Prevention

For the prevention of dacryocystitis, it is necessary to prepare the treatment of inflammatory diseases of the eyes and ENT organs, as well as to avoid eye damage, ingress of foreign bodies. With timely diagnosis and treatment of dacryocystitis, there is a complete recovery without serious consequences.

Falnarity: how to restore vision.

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Dacriacystitis is a dangerous eye disease in adults, which can lead to serious complications. Similar to him disease - temporal arteritis that is fraught big consequences With incorrect diagnosis and late handling of the clinic. Therefore, it is necessary to carry out the right, timely treatment and, of course, preventive measures In order to avoid the emergence of this disease. There are various methods of preventing diseases such as massage, eye exercises, yoga.

The impassability of the tear canal is a common ophthalmic disease that is found in both adults and in children. In medicine, this disease, accompanied by a blockage of a lacrimal channel, is also called Dacriacystitis. Due to the similarity of symptoms, the impassability of the lacrimal channel is often confused with other eye diseases, so at the first signs require a survey to establish an accurate diagnosis.

According to statistics, the dacryocystitis is most often diagnosed in women, the age of which varies in the range from 30 to 60 years, men have a lot less often. More about the treatment of the blockage of the tear canal and will be discussed in this article.

Disability of the lacrimal canal

Causes of obstruction

The most common reasons for obstruction doctors are as follows:

genetic predisposition;

anomalous development of the patient's skull;

changes in the body caused by age;

the development of an inflammatory or infectious process affecting the organs of vision;

mechanical damage to the facial part;

development of tumors in the field of a lacrimal bag or nose;

the formation of stones or cysts in the drainage system, which provokes disorders of the lacrimal channel;

the consequences of applying outdoor or internal medicines.

The structure of the lacrimal apparatus

On a note! Often, the dacryocystitis occurs in people who had previously had to face cancer treatment. According to statistical data, the reception of antitumor medicines And the pain of the patient's face increases the likelihood of dacryocystitis.

The mechanism of the occurrence of dacryocystitis

Characteristic symptoms

The blockage of the tear canal may occur both on one eye and immediately on both. As a rule, symptoms of pathology are due to the development of an infectious process, which develops against the background of the blockage of the channel. Among all the signs of dacryocystitis it is worth highlighting the following:

reduction of visual acuity;

blood impurities in tear bags;

the appearance of purulent discharge from the affected eye;

the depreciation of the organs of view that is often accompanied by painful sensations;

development of the inflammatory process, affecting a tear bag and eyeball;

the appearance of the "wet eye" syndrome, which is characterized by an excess of tear fluid.

Dacriacystitis in woman

Many people confuse dacryocystitis with conventional inflammation due to a similar clinical picture. It is necessary to learn to distinguish with dacryocystitis from other ophthalmological pathologies. The main thing you need to know is the main sign accompanying the dacryocystitis. We are talking about eyelids, painting them, as well as painful sensationsaccompanying the disease. Often, when pressed on the tear canal, purulent discharge appear. If you have noticed the above symptoms, then you need to ask for help for your doctor as soon as possible. It is impossible to ignore dacryocystitis, since late treatment can lead to serious complications.

Dacryocytes in adults

Diagnostic features

At first suspicions for dacryocystitis, you need to consult a doctor for a diagnostic survey. In this case, the diagnostics is engaged in an ophthalmologist, which for setting an accurate diagnosis conducts several laboratory tests. First of all, the doctor should hold a collar head sample, with the help of which you can reveal the location of the focus of inflammation, the main thing is to determine which disease was struck by the patient's eyes - dacryocytes or conjunctivitis.

Diagnosis of the disease

In addition to a collairgological sample, the doctor may assign additional diagnostic procedures:

sample of the patient's tear canal;

sowing the purulent contents secreted during palpation;

radiography of the eye;

biomicroscopic analysis.

Reception from an ophthalmologist

Based on the results obtained, the doctor will be able to put an accurate diagnosis. Only after that the course of therapy is appointed in accordance with the severity of the disease, degree of damage and age of the patient.

Treatment methods

Depending on the factor provoking the development of dacryocystitis, the course of treatment may differ slightly. To achieve the maximum effect, doctors use a comprehensive approach that includes not only the reception of medicines, but also the performance of a special massage that accelerates the recovery process. In rare cases, for example, if traditional therapy does not help or if the cause of pathology became a tumor, doctors resort to surgical treatment. Consider each of these methods separately.

Forms of the disease

Pharmacy drugs

Often, the drug treatment is used after surgery for rapid recovery. The main task of the use of drugs is to relocate the main symptoms of pathology, as well as in preventing relapses. Below are the most common preparations used in the obstruction of the lacrimal channel.

Table. Dacryocystitis medication treatment.

Paracetamol
Effective antibacterial drug with anti-inflammatory, analgesic and antipyretic properties. Excellent copes with infectious and inflammatory processes, due to which it is actively used in the treatment of dacryocystitis.
Another antibacterial drug used in the treatment of various pathologies of an inflammatory or infectious nature. Possessed bactericidal properties, at the expense of which the drug is actively struggling with intestinal chopsticks, staphylococci and streptococci. Produced in the form of eye drops.

Vigamoks.
Antimicrobial medical preparation with bactericidal properties. Negatively affects acid resistant, gram-positive and gram-negative bacteria. Used in the treatment of dacryocystitis and other ophthalmological pathologies.

Onceclix
As active component This preparation is levofloxacin - a substance with antimicrobial and anti-inflammatory properties. The drug is actively used in medicine in the treatment of inflammatory eye lesions.

Gentamicin
The remedy has bactericidal and anti-inflammatory properties. Negatively affects pathogenic microorganisms, due to which it is used in severe purulent infections. As a rule, gentamicine is appointed in cases where other antibacterial drugs were powerless.

On a note! If the doctor appointed not one, but at once several drugs for the treatment of the impassability of the tear canal, then between their use you need to observe the interval. As a rule, a 10- or a 15-minute break is quite enough.

Massotherapy

As a supplement to drug treatment, doctors are prescribed to patients special massage of the affected tear canal. Before it is done, it is necessary to wash your hands thoroughly with soap. Also, make sure that your nails are trimmed. Using a cotton swab treated with a weak solution of furaticiline, gently wipe the eye slit, thereby removing the accumulated pus. It is not recommended to use gauze tampons, because after them can remain small villins.

Massotherapy

The duration of the massage itself is 5-10 minutes. It consists of unlockful peasant movements with your fingers conducted by a small tubercle formed in the inner corner of the eye. During the tear bag procedure, purulent contents may exit, which periodically need to be removed using a cotton swab. After the completion of the eye massage, you need to stop the appointed doctor eye drops. Experts recommend to carry out the medical massage at least 5 times a day for 1-2 weeks. It should be enough to eliminate the problem of the clogged tear canal.

Dacryocystitis in adults - Photo

Surgical intervention

With the ineffectiveness of drug treatment, doctors resort to surgery. Also, the operation can be appointed if the pathology was caused by the development of the tumor or under congenital obstruction. The main task of the surgical operation is to restore the work underdeveloped or damaged during the disease of the disease of the patient's tear channels. The most common treatment methods applies dacriaocystorinostomyIn the course of which the doctor restores the outflow of tears. All procedures should be carried out under general anesthesia.

Dacriaocystorinostomy

After a successful patient operation, a long period of recovery is waiting for a long period of recovery, during which it should take appointed drugs. As a rule, doctors prescribe nasal sprays aimed at eliminating the swelling of the mucous membrane. As a supplement, eye drops can assign eye drops to withdraw the inflammatory process and preventing the development of infection. Proper execution All prescriptions doctor will speed up the recovery process.

Prevention measures

Since factors capable of impassability of the lacrimal channel, there is a sufficiently much, a single and universal method of preventing the disease, unfortunately, no. But there are several methods capable of reduce the likelihood of infection. First of all, you need observe personal hygiene rules, try not to touch the eyes with dirty hands, as well as avoid contact with people suffering from some species eye disease, for example, from conjunctivitis. If you wear contact lenses, you need to handle them correctly (regularly change the solution for lenses, wash your hands before putting them, use only quality products, etc.).

How to avoid obstruction of the lacrimal channel

Strengthening the immune system can also help avoid many diseases, including dacryocystitis. To do this, it is recommended to regularly play sports, spend more time in the fresh air, to eat and refuse bad habits. Compliance with all these preventive measures will prevent the development of various pathologies.

Video - how to make a massage of a lacrimal canal

The obstruction of the lacrimal canal is so called an ophthalmic inflammatory disease, which is a blockage of a lacrimal channel and vessels in adults or in children. With this pathology, there is a blockage of a tear bag of the eye, which many are confused with the CAC (blockage of the main channel of the central artery of the retina) - a disease that has inflammation of chronic in most cases. At the same time, the CAC is accompanied by a sharp, sudden blindness of the affected eye.

Most often, the obstruction of the lacrimal canal or vessels appears in women of 35-60 years, men have a given disease 5-6 times less often. The blockage of the tear canal in women is associated with anatomical features Building organs of vision.

In this case, only one eye is affected by the disease, with a closed channel, the liquid cannot fully go out. If a cork is formed, the outflow process is violated, the active reproduction of pathogenic microorganisms begins. As a result of this process, a purulent secret begins to produce.

Each person should have a clear idea how to cure dacryocystitis and what it is, since this pathological process is significantly increasing the likelihood of the development of complications of the purulent-septic nature of the subcutaneous fiber of the eyelids, as well as other areas of organs of vision.

Types of dacryocystitis

Chronic dacryocystitis in adults most often acts as a non-independent disease, and secondary, that is, develops against the background of another, main pathology. In order to understand what is a dacryocystitis, it is necessary to have a clear idea of \u200b\u200bwhat formations an ophthalmic disease may appear.

At the very first symptoms of the disease, you need to consult a doctor, so that the disease did not acquire a chronic form.

Congenital dacryocystitis eyes can be several types:

Singing the type of disease develops against the background of tuberculosis, syphilis, trachomas and some other diseases of the vessels.

Qatar is a tear path. This name is chronic catarrhal simple dacryocystitis.

Flegmon tear bag. With this form of pathology, purulent releases from eye channels are observed, so it is necessary to seek medical help.

Empiama - the impassability of the lacrimal channel and the vessels is accompanied by increased emissions of purulent content.

The obstruction of the chronic type channel is accompanied by increased tear, swelling of the lacrimal bag, the separation of the pus. If the disease occurs in the acute stage, there is a risk of acquiring chronic dacryocystitis. The latter is accompanied most often a phlegmon tear bag, enhanced production of purulent secretion from the channel.

It also distinguishes such a kind of disease as Dacriaiocytocele - a congenital disease, which, unlike conjunctivitis, is a cystic edema in the field of tear ducts or the nasal channel.

Causes of the disease

The reasons for the dacryocystitis are based on the obstruction of the nasal channels, the blockage of one or both lacrimal channels.

Chronic dacryocystitis in most cases develops against the background of another, main pathology.

The blockage of the tear canals may occur for the following reasons:

Congenital stenosis of the tears of the fetus, anomaly of blood vessels or tear paths.

Maxillofacial injury.

Syphilis, rhinitis, other pathologies that carry a serious danger of the nose-cutting canal.

The pathological process could develop on the background of a tear tuberculosis.

Purulent inflammation of the eyeglass, which causes the development of dacryocystitis.

In some cases, obstruction is provoked by various pathologies, obtained at the time of intrauterine development of the fetus.

Symptoms of dacryocystitis

The main symptoms of the dacryocystitis are most often manifested in the later stages of the disease, at the initial stage determine the presence of pathology is rather difficult.

Most often, the patient appeals to the ophthalmologist late when the impassivity of the tear canal moves to later stages. In this case, the main signs of the dacryocystitis are more pronounced and expressed.

The obstruction of the lacrimal canal may be accompanied by such a distinguished symptom as swelling that appears under tear bags. The priority, for which you need to pay attention is the presence of pain in the field of tear canals.

The swelling of the tear bag indicates the development of dacryocystitis.

You can go through a simple test: you need to slightly press swelling under the eye; The appearance of purulent fluid indicates the development of pathology. Make sure that you are inflamed of the tear canal will help the doctor who, during the palpation of the zone under the eyes, notes the skin seal and increase its elasticity.

Symptoms of the disease are quite diverse, and only an ophthalmologist with confidence to answer what it is, dacryocystitis or other illness.

Many patients confuse various ophthalmological diseases, setting the question, conjunctivitis or dacryocystitis affects their organs of vision. How to distinguish the inflammation of the tear bag from conjunctivitis? It must be remembered that when dacryocystitis, redness of the eyeguides, their swelling, soreness, the appearance of purulent discharge by clicking on the channel area are noted.

Diagnosis of dacryocystitis

Dacryocystitis eyes requires careful diagnosis. It is mandatory a collargoholic sample, which allows you to determine where the focus of inflammation is located, and at what level the pavement of the lacrimal canal is maintained, as well as differentiate dacryocytes from conjunctivitis.

When dacryocystitis, the following tests are taken, allowing to identify the form of the disease and choose the optimal treatment:

Eye biomicroscopy.

Sounding.

Radiography of the organs of vision.

Sowing the secrelectual secret.

Wall-cutting channel.

Diagnostics - the key to speedy recovery.

Comprehensive diagnostics will help you choose the most efficient treatment.

Preparation of the tear canal

The treatment of dacryocystitis in adults is most often carried out by two techniques - drug and operational. Medicase treatment is to instill in the eyes of special antibacterial and anti-inflammatory drops.

Dacryocystitis in adults can be treated at home, based on the recommendations at your attending physician. The main goal of treatment is the normalization of the lacrimal channel. In addition to the eye drops, I will help the obstruction of the lacrimal canal, the rods with ophloxacin, levofloxacin, tetracycline, which dacryocystitis wore allows it faster.

Doctors argue that those patients who have a purulent fluid for 2-3 weeks continues to emerge operation.

With such a disease, as dacryocytes, treatment is carried out by the formation of a completely new tear canal, bodging, sensing or washing with certain drugs.

At the active stage of the disease, vaccinations are prohibited. It is especially important to pay attention to the time of vaccination in children of younger and newborns. Any vaccine is an intervention in the body that can cause the most unexpected reaction. With inflammatory processes, in particular, with the obstruction of the lacrimal channel, it is necessary to refuse for a while.

From the funds of traditional medicine, dill, chamomile, tea, mint compress may become effective auxiliary means, which must be combined with medication treatment.

You must not forget about a massage that helps faster to defeat the disease. How to do it right, it is better to learn from an ophthalmologist. However, we still describe the principle of its implementation. 10 times you need to indicate fingers, tightly pressed or vibrating movements, descend along the line from the beginning of eyebrows to the wings of the nose. 11 times need fingers to spend in the opposite direction. If a pus comes out in the massage process, then you are all done correctly, and purulent discharges should be removed with cotton wheels, moistened with herbs or furaciline. If a transparent liquid came out, it should also be removed. Massage must be performed until the eye has completely passed, that is, until complete recovery.

Jul 13, 2017Anastasiya Tabalina

What it is?

Dacryocystitis is an infectious inflammatory disease, which is characterized by the lesion of the tears of the eye. As a rule, this disease is most often observed in people aged 30-60 years. In women, this disease is manifested more often due to the narrower anatomical structure of the nose-colored channels.

As a rule, adult defeat with dacryocystitis is always unilateral.

Manifestation of dacryocystitis in adults

The enemy of the fabrics surrounding the nose-hearted canal occurs as a result of inflammatory diseases of viral or bacterial genesis (respiratory infections, chronic rhinitis, sinusitis).

The disease can also cause:

fractures of nose bones and orbits; damage and disruption of the integrity of the tear canal; nasal cavity polyps; penetration into the eye of garbage, dust and other foreign bodies.

Also, the occurrence of the disease may contribute to the following factors:

metabolic disease; diabetes; Weakening of the immune system; allergic reactions; interaction with hazardous chemicals for organs; Sharp fluctuations in temperature.

When dacryocystitis, the following clinical manifestations arise:

constant tearing; mucous-purulent emissions from the eyes; hyperemia and tear meat, conjunctiva and semi-lobby; swelling of the tears bag; eye soreness; narrowing the eye slit; increasing body temperature; Common inxication of the body.

Dacryocystitis can have an acute or chronic form of the disease. Clinical manifestations of disease forms vary.

Launched stage of dacryocystitis

Inside the cavity of this neoplasm accumulates the pus, which, when pressed, highlighted outward. With further development of infection, phlegmon phlegmons may occur or fistula.

Diagnostics

In order to identify the disease of the patient, it is necessary to undergo an examination from an ophthalmologist. As a rule, dacryocystitis is quite easily diagnosed due to the clinical symptoms characteristic of it. During the examination, the doctor conducts an outer inspection and palpation of a lacrimal bag, conducts a tear-nasal velve sample, an instillation fluorescene sample, radiography of the tear paths.

First of all, the ophthalmologist listens to the patient's complaints and performs an outdoor inspection of the area of \u200b\u200bthe lacrimal bag. When palpation of this area, a purulent secret from the tear tubules should be highlighted.

The degree of passability of the entire tear system, as well as, the level and localization of obligations of oblusting is determined by contrasting radiography. During this diagnostic method, a solution of iodolyipol is used.

If you need to identify microbial pathogens of the dacryocystitis, bacteriological sowing is carried out.

The process of treating dacryocystitis in general is divided into two parts:

restoration of the pavement of the tear-nasal channel; Anti-inflammatory therapy.

In the treatment of dacryocystitis in adults, there is a bunning and washing of a tearsal-nasal channel with disinfecting solutions, the use of antibacterial droplets and ointments.

Burning is the most common, gentle method of restoring the pavement of the tear-nasal channel. During this procedure, it is possible to physically eliminate the deployment of the tear-nasal channel using a special rigid probe (buck).

Initially, patients suffering from dacryocystitis are prescribed enhanced antibacterial treatment to avoid infectious complications. This is necessary because when dacryocystitis, there is a possibility of the appearance of the purulent form of encephalitis or brain abscess.

Dacryocystitis in old age

The acute form of the disease is treated in stationary conditions. As a rule, in this case, intramuscular injections are prescribed Bezylpenicillin sodium salt (3-4 times a day) or oral administration Tetracycline (4 times a day) Sulfadimesin (4 times a day).

If an abscess of the lacrimal bag was formed, it was opened through the skin. Before opening the abscess, systemic vitaminotherapy and UHF therapy are carried out. After opening, the wound drain and washed with antiseptic solutions Furatcin, dioxidine, hydrogen peroxide. To prevent the further development of infection in the cavity of the conjunctiva, antibacterial drops are injected ( Levomycetin, Miramistin, Sulfacyl sodium, Gentamicin) and antibacterial ointments ( Erythromycin, Tetracycline, Floxal).

In addition to local treatment, systemic antibacterial therapy by the preparations of a wide range of action is carried out. For this, cephalosporins, aminoglycosides, penicillins are used.

With launched forms of dacryocystitis, when the standard drug treatment is inefficient, is carried out Dacryocystoplastic or .

Endoscopic dacriaocystorinostomy

Balloon dacryocytoplastic

Complications

Dacryocytes is a rather dangerous disease, since in the absence of treatment can provoke the emergence of various complications.

The chronic form of the disease is especially dangerous. In this case, it is possible to infect other shells of the eye. There is a possibility of developing concomitant diseases - Blufaritis, conjunctivitis, keratitis. With the further development of chronic dacryocystitis, the cornea is affected and an purulent ulcer is formed. As a result of the occurrence of the corneal ulcers later, Belmo can develop, which can be not only a cosmetic defect, but also reduce the quality of vision.

Further development of ulcers can also lead to the occurrence of endophthalmite, which is characterized by inflammation of the internal structures of the eye.

An essential complication can be the development of dangerous diseases, which can lead patient to disability or to death:

sepsis; phlegmon orbit; thrombophlebitis orbital veins; Cavernous sinus thrombosis; Inflammation of brain shells and brain fabric.

Prevention

Why do discomfort occurs when wearing lenses read in this article.

Dacriacystitis is a dangerous eye disease in adults, which can lead to serious complications. A similar disease - temporal arteritis, which is fraught with great consequences with improper diagnosis and late treatment to the clinic. Therefore, it is necessary to carry out correct, timely treatment and, of course, prophylactic measures to avoid the emergence of this disease. There are various methods of preventing diseases such as massage, eye exercises, yoga.

Sources:

Http: // eyesdocs. RU / ZABOLEVANIYA / DAKRIOCISTITIT / U-VZROSLYX-LECHENIE. HTML.

The blockage of tear canals occurs for many reasons.

Congenital blockage: one fifth of all babies is born to light with blockage of tear canals. This may be caused by the underdeveloped or abnormal channel or the problems of the development of the structure of the face and the skull.

Age narrowing of the channels: in adults it is possible to narrow the input of the lacrimal channel, which increases the likelihood of clogging the lacrimal channel.

Infections and inflammation: infections and inflammation of the lacrimal channel, eye and nose can also cause clogging of the lacrimal channel. The clogging of the tear canal itself can lead to infection and inflammation.

Ears and injuries of the face: any bruises affecting the lacrimal channels and the bone structure of them can lead to blockage of the lacrimal channel.

Tumors, cysts and concrections: the blockage of the tear canal may be caused by tumors and other growths.

As you can see, while the blockage of the tear canal generates many symptoms, it can also point to primary disease. Always consult with your ophthalmologist on eyes, so that he can provide timely help.

According to statistics, the dacryocystitis reveal in children the first two months of life, because gelatin traffic jams that are in the nasty channels, prevent the ingress of arrogant water into the child's body, since all nine months of intrauterine development he spends in water.

Normally, at the birth of a child, the gelatin film must be broken with his first cry. So the weasting channels open and provide normal tears products. With dacryocystitis, this does not occur: the eye is not washed with a tear, which creates favorable conditions for the reproduction of microbes and the occurrence of eye pathologies.

The reasons

The reasons for the dacryocystitis are based on the obstruction of the nasal channels, the blockage of one or both lacrimal channels.

The blockage of the tear canals may occur for the following reasons:

Congenital stenosis of the tears of the fetus, anomaly of blood vessels or tear paths.
Maxillofacial injury.
Syphilis, rhinitis, other pathologies that carry a serious danger of the nose-cutting canal.
The pathological process could develop on the background of a tear tuberculosis.
Purulent inflammation of the eyeglass, which causes the development of dacryocystitis.

In some cases, obstruction is provoked by various pathologies, obtained at the time of intrauterine development of the fetus.

Dacryocystitis occurs in the presence of physiological pathologies, namely the congenital narrowing of the duct (stenosis). Sometimes doctors reveal the full blockage of the duct of the tear canal.

The main causes of the disease:

Eye injury or separator sinus.
The inflammatory process of the nose that provokes the edema of the tissues around the eye.
The infectious process caused by bacteria and viruses, which leads to driving a duct.
Fit from foreign particles to the eye or work in dusty and smoke rooms. As a result, the channel clogs.
Allergy to the impact of an irritant.
Reducing the protective properties of the body.
Overheating and supercooling.
The presence of diabetes.

Very often, this pathology is found in newborn kids. This is due to a feature of the structure of the tear ducts. When a child stays in the oily water, the lacrimal canal is closed by a special membrane, which should be broken during childbirth or after them. This process does not occur if there is a pathology.

Tears are collected in the channel and it provokes an inflammatory process. Mostly develops in women. Men are also no exception, but they have this pathology very rarely detected. The reason is the difference in the structure of the lacrimal channel. Women use cosmetics, most of which are the cause of inflammation.

Tears in the human body are produced by special iron, and then on special channels enter the bag. After that, the stack in the nose region is carried out.

Pouch for tears is located in the inner corner of the eye. For newborns, the slight length of this tube is characterized - only eight millimeters. In itself, the hole is not yet developed to the end, therefore, various infections and malicious bacteria can penetrate through it in the body of the infants.

In the maternal womb, this hole is closed with a special film, which is eliminated immediately after the appearance of newborns. With the first breath, a slight inflammation of the tear bag begins. It was called dacryocystitis.

This disease is also developing due to the narrowing of the channel for tears, which can additionally be blocked by the dead cells. The disease can often be diagnosed in newborns. The restoration of the channel should be restored in the first weeks of life, otherwise it will be possible to note the presence of an inflammatory process, which must be treated with appropriate treatment.

This disease may occur in physiological pathologies of the tear glands - for example, if there is a congenital narrowing of the tear ducts. Sometimes they are completely blocked.

The main causes of the disease:

injury to eyes or nasal sinus;
inflammatory diseases of the nose, causing the edema of the tissues located in the eye area;
bacterial and viral infections;
ingress of foreign bodies in the eyes, long stay in very dusty rooms or work with chemicals harmful to eyes;
allergic reactions;
decrease in immunity;
metabolic disorders;
supercooling or overheating of the body;
diabetes.

Dacryocystitis is often diagnosed with newborn children. This is due to the peculiarities of the structure of the tear ducts in infants in the first months after the appearance of the light.

In adults, the dacryocystitis is also found, but much less often. The female floor is susceptible to this disease to a greater extent than the male. The reason here is the characteristics of the structure of the tear ducts in women. One of the causes of the disease in women may be the abuse of cosmetic means, many of which provoke the formation of inflammatory processes inside the tear duct.

Our tear fluid is distinguished from the lacrimal glands located above each eye. Tears flow down the surface of the eye, moisturizing and protecting it. Then the tear liquid seeps into thin holes in the corners of the eyelid. "Exhaust" tear fluid through special channels falls into the nasal cavity, where it is reabsorbing or distinguished.

The blockage of the tear canal at any point of this complex system leads to a violation of the outflow of the tear fluid. When this happens, the patient will tears their eyes and increases the risk of infections and inflammation.

Congenital obstruction. Some children drainage system It may be underdeveloped. Often the tear canal is cleaned with a thin mucosa. This defect can independently disappear in the first months of life, but may require a special procedure - bunning (sensing).

Anomalous development of the skull and face. The presence of such anomalies, as under Down syndrome, increases the risk of impassability of the tear canals.

Age changes. Older people may experience age-related changes associated with the narrowing of the holes of the tear canals.

Infections and eye inflammation. Chronic eye inflammation, nose and tear channels leads to obstruction.

Face injuries. In case of injury, the face may be damaged by the dice near the lacrimal channels, which disrupts the normal outflow.

Nose tumors, a lacrimal bag, bones with a significant increase sometimes overlap the tear canals.

Cysts and stones. Sometimes cysts and stones are formed inside this complex drainage system, causing a disturbance of outflow.

Outdoor medications. In rare cases, the use of eye drops (for example, for the treatment of glaucoma) can cause impassability of tear canals.

Domestic drugs. Neprivability is one of the possible side effects of the drug Acetaxel (Taxoret) used to treat breast cancer or lungs.

Risk factors

Age and floor. Older women more often suffer from this disease as a result of age-related changes.

Chronic eye inflammation. If the eyes are constantly annoyed and inflamed (conjunctivitis), there is an increased risk.

Surgical operations in the past. Operations on the eye, century, nasal sinuses can cause the scarring in the drainage system of the eye.

Glaucoma. Preparations against glaucoma sometimes contribute to the development of the impassability of the tear canals.

Treatment of cancer in the past. If a person has subjected to the irradiation of the face or accepted some antitumor drugs, risk increases.

Risk factors

The reason for the blockage of the lacrimal canal may be:

Update the drainage system of the eye. In some babies, the lacrimal canals are sealed with a thin plug of mucus. This problem is usually self-made during the first months of life. Only in some cases the blockage of the tear canal in children may require medical intervention.
Violation in the structure of the skull (often accompanies mental violations).
Physiological aging (with age, the tear canals of the person are strongly narrowed).
The presence of a focus of infection and inflammation in the eye area.
Face injuries. In severe injury, the bone may be damaged in the area of \u200b\u200bthe lacrimal channel, as a result of which the outflow of the tear fluid will break.
The presence of benign or malignant tumors in the eye or in the nose.
Prolonged use of certain outer drugs (for example, drops for the treatment of glaucoma) or systemic (for example, docetaxe against breast cancer and lungs).

In the field of the lower eyelid, the inner corner of the eye is a lacrimal point - a hole is less than a millimeter in diameter. For her, the tear flows. This mechanism is very interesting to nature: the pressure in the lacrimal bag is always negative, due to this and sucking eye fluid. Through a lacrimal point, the liquid passes into the tear canal, and from there it can flow freely into the nose.

As a rule, the inflammation of the channel caused by obstruction is occupied either in infants or in old age. In newborns, the cause of obstruction is to sprout a tear-nasal channel. The fact is that the child still in the womb in the mother in this channel is formed a special membrane, which should be broken by the time of birth. Therefore, most often, the pathological lacrimal canal occurs in premature babies.

damage,

infectious ophthalmological diseases and complications after such diseases.

The disease is very often noted in newborns. Often, the initial underdevelopment of tear canals or secondary infection leads to inflammation. In any case, this problem is solved with an increase in the child.

Causes of inflammation in adults

In an adult, such a disease occurs most often after injury, or after inflammatory disease in the nasal cavity, as a complication. But in most cases the reason for inflammation is not installed.

In the elderly, the symptoms of the disease causes atherosclerosis of the vessels, in particular those responsible for tears. Cunning cholesterol can be delayed even in the holes of the tear paths, and without the tiny. In this case, the tear paths are expanded by washing with various solutions under pressure, for example, furacilinov.

Risk factors

Types of dacryocystitis

Chronic dacryocystitis in adults most often acts as a non-independent disease, and secondary, that is, develops against the background of another, main pathology. In order to understand what is a dacryocystitis, it is necessary to have a clear idea of \u200b\u200bwhat formations an ophthalmic disease may appear.

Congenital dacryocystitis eyes can be several types:

Singing the type of disease develops against the background of tuberculosis, syphilis, trachomas and some other diseases of the vessels.
Qatar is a tear path. This name is chronic catarrhal simple dacryocystitis.
Flegmon tear bag. With this form of pathology, purulent releases from eye channels are observed, so it is necessary to seek medical help.
Empiama - the impassability of the lacrimal channel and the vessels is accompanied by increased emissions of purulent content.

The obstruction of the chronic type channel is accompanied by increased tear, swelling of the lacrimal bag, the separation of the pus. If the disease occurs in the acute stage, there is a risk of acquiring chronic dacryocystitis. The latter is accompanied most often a phlegmon tear bag, enhanced production of purulent secretion from the channel.

It also distinguishes such a kind of disease as Dacriaiocytocele - a congenital disease, which, unlike conjunctivitis, is a cystic edema in the field of tear ducts or the nasal channel.

As a rule, acute dacryocystitis in adult patients is not an independent disease, and is an aggravation of any chronic process.

The following clinical manifestations of chronic dacryocystitis should be distinguished: a simple catarrhal and stenosing dacryocystites, phlegmon and an empieme of a tear bag.

1) stenpeting dacryocystitis;

2) simple catarrhal dacryocystitis;

3) phlegmon of a lacrimal bag;

4) Empham of a lacrimal bag.

Under normal conditions, the tear liquid, which special glands produce, performs constant surface washing eyeball, flushing dust, microbes and foreign particles. It is then assigned to the inner corner, where it is absorbed through the mouth of the tear points, the holes leading inside the lumen of the rosal canal.

At the beginning of the dacryocystitis, due to the fact that the rosal canal becomes impassable, the process of tear leads from the eye suffers. As a result, the exhaust tear fluid is assembled inside the lacrimal bag, and as it is filled (this is a cylindrical cavity, which is available at the beginning of the roseless bag), the tear will be copied already in the corners of the eye.

Based on clinical symptoms, it is possible to allocate separately:

Acute dacryocystitis, typical with sharp, actively emerging symptoms, up to the formation of a glow bag an abscess or provocation of phlegmon of tissues, its surrounding;
chronic dacryocystitis With periods of exacerbations against the background of aggressive infections and remission, when the outflow of tears almost does not suffer.

As mentioned above, dacryocystitis in adults arises not alone, but it goes like support of another disease. The disease manifests itself differently, and may be sharp or chronic. It is possible to distinguish several varieties of dacryocystitis.

The obstruction of the roseless ways is more often a childhood disease.

Qatar is a tear pathway - a chronic disease, which is often found in newborns;

Stenping dacryocystitis - arises as the consequences of tuberculosis, syphilis, trachomas and other diseases;
Flegmon tear bag is a complication arising from adult chronic form of dacryocystitis. Accompanied by purulent inflammation;
Empire of the tear bag - as in the case of phlegmon, in this form, a large amount of pus occurs in the patient.

Acute dacryocystitis very rarely occurs as an independent disease, it becomes more often an complication of any inflammatory process. By the nature of the flow of inflammation, the dacryocystitis is classified on:

acute;
chronic;
congenital.

For clinical manifestations, four forms of pathology are distinguished. It:

stenosing dacryocystitis;
simple catarrhal dacryocystitis;
phlegmon tear bag;
empire of a tear bag.

Phlegmon and empieme develop as a complication with incorrect or not timely treatment Simple form of dacryocystitis.

Stages of development of dacryocystitis, classification

inflammatory channel swells against the background of the development of colds and ARVI, as well as pathologies associated with ENT organs. Related to them chronic rhinitis With pronounced edema mucous, sinusitis, plus also nose polyps, the growth of adenoids.
traumatic influences on ENT organs or eye damage. Related to them fractures of nasal bones, orbit injuries and eye fabrics, serious damage in the field of tears themselves or tubules, injury or an inner corner of the eyes, cluster there, Sukrovitsy.

As the result of all these influences in the lumen of the lacrimal bag and the channel, a tear fluid is causing, which loses its antimicrobial properties and provokes the reproduction of various microbes in it. This is usually a conditional pathogenic group of pathogens, but entering pathogenic organisms can also lead to specific forms of dacryocystitis. Typical pathogens can be a coking flora, viruses, chlamydial agents and allergens.

Gradually, the walls are stretched in the lacrimal bag, the sharp or sluggish chronic process of inflammation flows inside it, often can be copied to the pus, which flows out, if you press the nose wing. Usually the secret of a bag of liquid and watery turns into mucous contents, against the background of the introduction of bacteria - it is purulent.

Chronic or acquired hymorite increases the chances of developing the disease. The disease arises due to more serious reasons - the presence of tuberculosis, syphilis and a number of other ailments.

The inflammation of the mucous membrane of the channel, conducting tears, leads to a narrowing of the nasal canal. As a result, tears accumulates in a tear bag.

Such conditions are most favorable for the development of malicious bacteria. Bacteria gradually becomes greater, and this leads to the fact that the inflammatory process begins to be accompanied by purulent secretions.

In adults, dacryocystitis often develops with eye diseases, especially when glauer. Also, the cause of blockage of tear ducts can be an independent use of eye drops (without testimony of a doctor) or a side effect of the admission of antitumor drugs based on the docetaxel. If a person gets injury to a person, then the blockage of the tear duct can be triggered by the displacement or deformation of the facial bones of the skull.

Despite the fact that the blockage of the tear gland in newborns during the first year of life disappears independently, some measures are still recommended. Thus, the parents of the baby must carefully ensure that his eyes always remain clean. So that the tear liquid is not accumulated in the channel, the blockage area can be slightly massaged. When developing an infectious process, antibiotics therapy applies.

If 6-12 months after birth, the situation was not corrected - the child will spend sensing that expands the tear canals. At the end of the ducts are washed.

The main way of treating the blockage of the tear canal in adults is an operation. It can be carried out both with the help of surgical instruments and a laser. The last method is more modern, so today doctors prefer him. The advantage of the laser is that it "seals" blood vessels and, thus, reduces the risk of bleeding and infection of healthy tissues.

After the procedure, a soft silicone tube can be installed to prevent the channel to it.

In some cases, the doctor can make a donom of dice located deep into the nose. The form and size of the organ will remain the same. In the most launched cases, surgeons create a new artificial tear canal to patient.

swelling and redness;
soreness in the zone inner corner eyes;
the presence of separated;
one-sided defeat (usually).

In addition, the pathology is divided into primary and secondary.

The diagnosis is made with the obstruction of the tear-nasal channel or blocking the lacrimal points.

Provoking factors are:

Congenital anomalies, underdeveloped / narrowed tear canal;
Injury;
Rubber, syfilitic nose damage;
Inflammation in the gaymorovy sinuses, nearby bones;
Blufarite;
Tuberculosis and inflammation of the tear gland and its bag;
Atherosclerosis.

Diagnostics

Conclusion put on the basis of complaints and after inspection. Appoint the following activities:

Vesta color sample to determine the pavement pathways;
Diagnostic probing to clarify the level of obstruction;
Passive tear-nasal sample to confirm obstruction;
Biomicroscopy eye;
Fluorescinating installation sample;
Contrast radiography with iodolipol solution;
Bacteriological sowing discharged to determine the causative agent of inflammation and its sensitivity to antibiotics;
If necessary, consulting other narrow-profile specialists.

Tactics are selected depending on the form of the disease (primary, secondary). For example, with congenital dacryocystitis, efforts are directed to the elimination of the embryonic film, which did not break through at birth.

For this purpose, massage, washing, as well as probing. And with secondary form, complex operational interventions are needed to restore the tears. Medication tools, massage, washing - conservative methods Treatment, and bunning, probing, operations - radical (surgical).

Medicines must be used simultaneously with surgical methods. They are prescribed before and after operations in order to eliminate infectious inflammatory phenomena or not allow them to appear in postoperative period. In this case, very diverse anti-inflammatory agents are used, starting with paracetamol and antibiotics and ending with synthetic hormones.

The acute course requires the general and local use of antibacterial drugs. Their choice depends on the sensitivity of the inflammation pathogen. Mazi or drops based on antibiotics are prescribed for topical use (Vigamox Ave., Tobrax, Officix). Levomycetin is used, gentamicin.

In the period of the newborn, Ciprofloxacin is contraindicated. It is not necessary to use albucid, as it causes burning, crystallizes and compacts the embryonic film from which it is necessary to get rid. With the simultaneous use of several drugs, the interval between their use should be at least a quarter of an hour.

Massage plays an important role in both treating and in prevention. But the procedure cannot be carried out if there is inflammation, because the pus can get into the tissue surrounding the tear bag, and provoke phlegmon. How to make a massage shows a doctor.

Before the procedure, sterile gloves or handle hands with antiseptic solution. Then you need to squeeze the detachable, clean the eyes with a solution of furaticiline. The massage of the lacrimal canal is better to do before feeding.

In the first 2 weeks, the number of procedures per day can reach 10. Movements are performed by the index finger: pressed on the eye bag area, moving downward, trying to break through the gelatin film with sharp, but neat jogs.

If everything is done correctly, the pus is highlighted, which is removed by cotton wool, moistened in the brave of herbs (chamomile, calendula, tea) or a solution of furacin. You can also use a pipette. Then medical agent Remove boiled water. After massage, antibacterial drops appointed by the doctor.

During such treatment, you need to visit an ophthalmologist twice a week. After 14 days, he must estimate the effectiveness of therapy and, if necessary, change it. It is worth noting that the massage as a measure of treatment is effective only in children of the first year of life. It may take to rinse the tear paths with a sterile saline with an antibiotic. This procedure is performed by a doctor, pre-corrupt anesthetic (Dicaine solution 0.25%).

Sounding a lacrimal canal

The opinions of doctors are significantly different about the feasibility of this procedure in childhood. Some experts believe that it is necessary to conduct it no earlier than six months in the absence of results from massage. Protection supporters are recommended to resort to it in 2 weeks after the start of conservative therapy in the absence of effect.

The procedure is carried out on an outpatient basis by an ophthalmologist as adults and children. Previously used local anesthesia. Then the probe is then entered through a lacrimal point. Such a device allows you to pierce the film and expand the channel for high-quality tears outflow.

The procedure is painless, only a few minutes. It is worth noting the less the child, the better it transfers such an event. About a third of cases, a few days later, the probing has to be repeated. In almost 90% of cases, it is possible to restore the tears of this method. To exclude inflammation, in the postoperative period is prescribed antibiotic therapy (drops in the eyes).

Burning for the expansion of the lacrimal channel

This method It is more gentle than a full-fledged operation. Bug is introduced into the tubules - a special probe, eliminating obstacles and expanding the duct. Book is introduced as when the sensing procedure. The event does not cause unpleasant sensations and takes a few minutes.

As in the previous case, if after sensing the lacrimal channel, everything is also worth a tear, it may be necessary to re-conduct.

Operational methods of treating inflammation

Surgical intervention is shown in the absence of an effect from medicines, massage, probing and bunning, as well as in some congenital developmental anomalies. The radical surgery is resorted in the case of secondary dacryocystitis, in the presence of a chronic form of disease and complications.

The inflammation of the lacrimal path in newborns assumes, as a rule, laser dacryocystorinostomy. The senior and children and adults through the operation create an artificial move that connects the cavity of the nose and eyes. In exceptional cases, adults are removed and a bag.

The procedure can be performed in two ways: exterior and through the nose. The last option is preferable, as it is less traumatic and does not leave scars. The patient is introduced local anesthetic. Operation itself is carried out in the "Sitting" position.

Radical methods can also be used for newborns if conservative therapy is ineffective. As already mentioned, in order to prevent the addition of infection, antibacterial drugs are prescribed before and after surgery.

An important role is played by the rules of personal hygiene. Without their observance, you can negate all the results of treatment. Reduce and eliminate symptoms of the disease (swelling, redness, burning) can be using folk recipes. They are not the main method of treatment, but well complement such. Compresses with infusion of mint, chamomile, dill are allowed; Skill from Calanechoe juice and tea bags.

Remember that inflammation of the tear canal is not subject to independent treatment. It is necessary to consult an ophthalmologist. Children can be directed to an additional inspection to the pediatrician and the otolaryngologist.

With the appearance of any violations, it is urgent to take action, because the gelatin film (in the case of infants) after 2-3 months turns into cellular tissue, and it can be eliminated only by radical methods.

Treatment of disease in children and adults

In this case, the disease is constantly tearing, swelling appears. If you press the field of a lacrimal bag, the purulent fluid will be distinguished.

In this article, we will consider the features of such a disease as dacryocystitis in adults, the treatment of this pathology.

Such a disease occurs in the physiological pathology of the tear glands, for example, if the tear ducts have a congenital narrowing. Sometimes they can be completely blocked.

viral and bacterial infections;

metabolic disease;

hit in the eyes of foreign bodies;

work with chemicals bringing harmful eyes;

long stay in a very dusty room;

Quite often diagnose dacryocystitis in newborns. It is explained by the fact that the tear ducts in infants in the first months of life have the characteristics of the structure.

In adults, dacryocystitis (photo pathology is in medical directories) is far less frequent, and women suffer from him more than men. This is due to the fact that representatives of the beautiful floor have a slightly different structure of the tear ducts.

In the first stages, the dacryocystitis does not exhibit very vividly. The classic symptoms of this disease are the feeling of cutting and swelling in the area of \u200b\u200bthe projection of the lacrimal bag.

After a period of time expire, continuous tearing is added to them. Lightly pain syndrome and a constant feeling of discomfort, and when pressed on the lacrimal bag, a liquid or even pus is often distinguished. In later stages, due to continuous tears. The skin around this area blues and inflates.

At the initial stages of the development of the dacryocystitis, conservative treatment methods are used, such as a regular massage of a lacrimal bag and washing the tear bag and nose-cutting channels using anti-inflammatory (dexamethasone), antibacterial (phloxal. Levomycetin, ciprofloxacin, etc.

If the disease is in the launched stage, the only effective method of treating dacryocystitis in adults is surgical intervention.

1) Burning and washing, which consists in restoring the current of the nose-cutting channel;

2) Dacriaocystorinostomy, as a result of which a new message is formed between the nasal cavity and a lacrimal bag.

If we talk about the symptoms of isolated dacryocystitis, then quite characteristic manifestations are typical. But the symptoms differ significantly due to the form of pathology - whether it is acute or chronic.

For the latter, typically constant tearing with parallel swelling, which is observed in the skin area covering the tear bag. The pressure on the tumor zone forms the selection from the holes (they are called with tear dots) of mucous droplets or purulent balls. A special element is a tear meat (pink fold of the mucous) sharply elapsed and reddened, in addition, the edges of the century also blush with him also blush with him.

For acute dacryocystitis typical more active, sharp and stormy clinical picture. Symptoms are expressed sharply - the skin blues greatly, a very painful swelling above the surface of an extended and inflamed tear bag, the skin of the eyelid becomes swelling, eyelids are narrowed or completely closed especially near the inner eye angle.

Redness with swelling can go to the area of \u200b\u200bthe back of the nose or eyelids, to the area under the eye and cheek. Externally, inflammation can be similar to a corrosive, but there is no sharp boundaries between healthy and damaged tissues. Patients complain of pain, which has a sharp and twigging character, is localized near the eye. In addition, typical headache and an increase in temperature with chills, signs of intoxication against the background of inflammation.

A few days later, as the process develops, the infiltrate is tight before it is beginning to soften, a feeling of fluctuations (fluid current under the fingers) may appear, the skin above the affected area acquires a yellowish tint. These are signs of the formation of purulent abscess, which can open outward, forming a fistula from which the pus swells.

An opening of an abscess may occur in the nasal cavity, then a tear fluid will flow from the purulent containers from one half. When the pus applies to the surrounding tissues, the struck orbital fiber, as a result, develops phlegmon. Often the acute process, if it is immediately actively treated, is inclined to relapses and transition to a protracted form.

If the diagnosis of acute dacryocystitis is established, hospitalization and treatment in the hospital is shown. Before infiltrate softened, vitamins and heat on the seal area, UHF therapy, are used. As the "ripening" of the abscess is carried out its opening and removal of the entire pus and washing the cavity of the bag with solutions of antiseptics (furaciline, dioxidine) or hydrogen peroxide.

Showing local application Droplets with antibiotics, taking into account the sensitivity of pathogens - gentamicin, Levomycetin, Miramistin, sulfanimamides. Also shows the use of antimicrobial ointments for eyelid. In parallel with local treatment, the use of antibiotics inside with the selection of preparations of the highest possible spectrum of activity is shown.

In the presence of a diagnosis of chronic dacryocystitis, one of the leading methods of therapy will be an operational correction - dacry-cysto-rhinostomy with the creation of an artificial message between the lacrimal points and the nasal cavity itself, with the involvement of a lacrimal bag. This will allow the outflow of the tear fluid from the affected eye, as it should be carried out normally.

Today, minimally invasive methods of operations with endoscopic or laser channel creation are applicable to ophthalmologists. Sometimes doctors are trying to restore the permeability due to the testing of the channel or the use of cylinders with inflating them in the area of \u200b\u200bthe stenosis air. This allows you to expand the area of \u200b\u200bthe narrowed channel.

When dacryocistitis patients before full cure It is forbidden to apply contact lenses and conduct any procedures if there is contact with the cornea. This is preventing the development of the damage to the cornea with ulcerative formation.

Diagnostics

For the treatment of blockage of tear duct in an adult, the same conservative and surgical methods are used: probing or an operation to expand the channel. If pathology is launched, sometimes it is necessary to carry out a plastic of a lacrimal bag with the removal of the resulting tumor.

Also, the treatment of dacryocystitis in adults implies another type of operations: balloon dacryocytoplasty. It is to introduce into a tear duct of a thin conductor equipped with a microscopic cylinder. The latter is filled with liquid, swelling and thus expands the channel. Then the balloon is removed, and the patient is prescribed the course of antibacterial therapy.

Signs

The main symptoms of the blockage of the lacrimal canal include:

pathologically large amount of tear fluid (with the eyes constantly wet);
inflammatory processes affecting various parts of the eye;
education of edema in the inner corner of the eye (in some cases it can bring painful sensations);
selection of pus from the eye;
blood adherence in the tear liquid;
violation of vision (loss of its clarity, vagueness).

Causes and symptoms of inflammation of the tear canal. Methods for treating inflammation of the tear canal

The main symptoms of the dacryocystitis are most often manifested in the later stages of the disease, at the initial stage determine the presence of pathology is rather difficult.

The obstruction of the lacrimal canal may be accompanied by such a distinguished symptom as swelling that appears under tear bags. The priority, for which you need to pay attention is the presence of pain in the field of tear canals.

You can go through a simple test: you need to slightly press swelling under the eye; The appearance of purulent fluid indicates the development of pathology. Make sure that you are inflamed of the tear canal will help the doctor who, during the palpation of the zone under the eyes, notes the skin seal and increase its elasticity.

Symptoms of the disease are quite diverse, and only an ophthalmologist with confidence to answer what it is, dacryocystitis or other illness.

Many patients confuse various ophthalmological diseases, setting the question, conjunctivitis or dacryocystitis affects their organs of vision. How to distinguish the inflammation of the tear bag from conjunctivitis? It must be remembered that when dacryocystitis, redness of the eyeguides, their swelling, soreness, the appearance of purulent discharge by clicking on the channel area are noted.

Tears are necessary for the normal functioning of organs of vision. They moisturize the cornea of \u200b\u200bthe eye, protect against mechanical stimuli, perform an antibacterial function.

Sometimes tears cease to flow, this is the first sign of the impassability of the lacrimal channel. Treatment is one of the ways to cope with the problem and prevent the development of canaliculite. Sometimes the massage of the lacrimal canal helps.

Main symptoms:

painful and unpleasant feelings in the area of \u200b\u200bthe eye;
redness of the skin around the eye;
feeling of squeezing and cutting;
swelling of the skin;
tear;
edema;
vision problems;
increased mucus release, which smells badly;
mine education;
high body temperature;
incixation of the body.

The acute stage of the dacryocystitis appears in the inflammatory process affecting one eye. In the chronic stage, the tear canal swells, the eye blues and the amount of tears increases.

If the lacrimal paths are closed, then tears can not pass through them. This situation is dangerous with strong winds, or accompanying ORVI diseases. Treatment of disease in newborns should begin on time, otherwise will lead to the formation of a protrusion that can have purulent.

For newborns, in such a situation, the presence of a strong inflammatory process in a lacrimal bag is characterized. Treatment will eliminate pain and redness. Proper therapy for several days will remove swelling and will not give the disease to go into a chronic form. With an increase in the suppuration, an increase in body temperature is observed. The phlegmon can be revealed independently at any time after ripening.

This disease has its own characteristic features. Acute dacryocystitis develops with the manifestation of the following symptoms:

the appearance of swelling in the area of \u200b\u200bthe lacrimal bag, which responds to the pain when it squeeaches;
the edema of the eye, in which the eyelids swell, and the eye gap narrows, preventing a person to see a normally;
pronounced redness in the depth of the tear duct;
the area around the eye orbit is very painful - painful character can be replaced by acute at the moment of touching to the inflamed site;
increasing body temperature;
incitization of the body is weakness, fast fatigue, malaise.

In the initial stage of the disease, the swelling formed in the area of \u200b\u200bthe tear duct is very dense to the touch, over time it becomes soft. The red eyes fall from the sick eye, an ulcer is formed on the spot of swelling. Inflammation disappears with a breakthrough of an ulcer. Instead of an affectionant, a fistin can be formed with a constant allocation of the contents of a lacrimal channel.

Chronic dacryocystitis is manifested by the following symptoms:

in prosecurating tears, sometimes with the presence of a pus;
selection increase when pressed or squeezing the lacrimal bag;
with an external inspection, you can see the oblong swelling under the sore eye;
eyelids swollen, silent, overflowing blood;
in the further spread of infection, purulent ulcers may occur.

In the launched form of dacryocystitis, the skin under the eye becomes sluggish, flabby, thin, it is easily stretched with fingers. The danger of chronic dacryocystitis is that it almost does not cause pain. A person suffering from this form of the disease appeals to the doctor far from immediately when the disease was already widely spread or gave severe complications.

When aggravating the inflammatory process, phlegmon of a tear canal may form. Its main signs are a strong swelling in the area of \u200b\u200bthe lacrimal bag, swelling and redness in the field of the lower eyelid. Since the inflammatory process occurs in the body, the body temperature rises sharply. When analyzed, you can reveal an increased number of leukocytes and ESOs.

Flegmon is a very dangerous phenomenon during dacryocistitis. It is not always revealed out. If the opening of the phlegmon will occur inside, purulent contents will penetrate into tear ducts, they will fall into the eyeboard, and then it can spread to the skull cavity, with the infection of the brain.

These complications may occur only when the patient delays a visit to the doctor or with a weakened immunite. Timely visit to the doctor, the diagnosis of the disease and the correct course of treatment helps to successfully cope with this unpleasant disease.

Diagnostics

Before appointing a course of treatment, the doctor examines the patient, studies the symptoms and history of the disease, after which it sends a patient for surveys:

General urine and blood analysis.
A smear that determines the presence of bacterial microflora.
Rososcopy. This survey will help identify pathology in the structure of the nasal sinuses and structures, as well as the presence of diseases that lead to the obstruction of the tear canals.
Studying the eye under the microscope.
In the patient's eyes, a special solution is buried (collargol), and after a while in the sinus of the nose is introduced cotton swab. If the collargol drops are not detected on it, then there is impassability of the lacrimal channel.
X-ray with the introduction of a special dye to the eye ducts.

Dacryocystitis in children is diagnosed in the same way as adults. Treatment is prescribed only after a comprehensive patient examination. If, even after all the diagnostic procedures, the doctor doubts the presence in the patient of the dacryocystitis, it is usually prescribed to washing the eye ducts with a furaciline solution.

Video - The obstruction of the lacrimal canal. Tell the doctorAznauryan I.E.

The impassability of the lacrimal canal may be observed either from one eye or on both sides.

Excess tear fluid (wet eyes).
Frequent eye inflammation (conjunctivitis).
Inflammation of the tear bag (dacryocystitis).
Painful swelling in the inner corner of the eye.
Mucous or purulent emissions from the eye.
Blood in tear fluid.
Blurred vision.

Dacryocystitis - a medical term meaning when the inflammatory processes are affected by the channel, located at the nasal partition and the inner corner of the eye. Symptoms of inflammation occur due to the obstruction of the lacrimal channel. As a result, microorganisms are accumulated in it, leading to the emergence of the inflammatory process. Consider what should be the treatment of the disease in children and adults.

In the area of \u200b\u200bthe inner corner of the eye, pain is performed, redness and swelling occurs.

Allocations are also important signs of illness.

During the diagnosis, the doctor explores the tear ducts, assesses the degree of development of the process and examines the patient for the detection of further concomitant pathology.

in the field of the lacrimal bag, swelling appears, and if it is survived, then pain occurs;

in the field of tear duct, severe redness appears;

incessant tears;

eyelids swell, swell, overflow with blood.

When dacryocystitis, the following clinical manifestations arise:

constant tearing;
mucous-purulent emissions from the eyes;
hyperemia and tear meat, conjunctiva and semi-lobby;
swelling of the tears bag;
eye soreness;
narrowing the eye slit;
increasing body temperature;
common inxication of the body.

Dacryocystitis can have an acute or chronic form of the disease. Clinical manifestations of disease forms vary.

In the acute form of the disease, clinical symptoms appear most brightly. In the region of the inflamed peeling bag there is a sharp redness of the skin and painful swelling. The eye cracks due to the edema of the century are strongly narrowed or completely closed. The patient may experience pain in the eye, chills, fever, headache.

Launched stage of dacryocystitis

The chronic form of the disease is characterized by constant tearing and swelling in the field of a lacrimal bag. When pressing the mucinous exudate is released on this area of \u200b\u200bthe tear canals. In the peeling bag area, swelling neoplasm is formed, visually resembling beans. As it is developed, it becomes densely elastic.

Inside the cavity of this neoplasm accumulates the pus, which, when pressed, highlighted outward. With further development of infection, phlegmon phlegmons may occur or fistula.

Diagnostics

The most commonly carried out a tear-nasal sample of Vesta. It is one of the most common diagnostic techniques. During this procedure, a collargol solution or a protargol solution also bury the conjunctival bag. These staining substances are used to determine the patency of the tear canal. In the sinus of the nose, a tampon from watts or turgunda is introduced. Traces of coloring substances should appear on the tampon no later than 5 minutes. The delay in the admission of the substance into the nasal cavity or its absence indicates a violation of the tearing-nasal duct.

If you need to identify microbial pathogens of the dacryocystitis, bacteriological sowing is carried out.

Treatment

As a rule, if dacryocytes without complications - the prediction of the recovery is favorable. Treatment of dacryocystitis, first of all, depends on the form of the disease and the causes of its occurrence.

The process of treating dacryocystitis in general is divided into two parts:

Diagnosis of the disease

Dacryocystitis eyes requires careful diagnosis. It is mandatory a collargoholic sample, which allows you to determine where the focus of inflammation is located, and at what level the pavement of the lacrimal canal is maintained, as well as differentiate dacryocytes from conjunctivitis.

When dacryocystitis, the following tests are taken, allowing to identify the form of the disease and choose the optimal treatment:

Eye biomicroscopy.
Sounding.
Radiography of the organs of vision.
Sowing the secrelectual secret.
Wall-cutting channel.

Diagnostics - the key to speedy recovery.

Preparation of the tear canal

The treatment of dacryocystitis in adults is most often carried out by two techniques - drug and operational. Medicase treatment is to instill in the eyes of special antibacterial and anti-inflammatory drops.

Dacryocystitis in adults can be treated at home, based on the recommendations at your attending physician. The main goal of treatment is the normalization of the lacrimal channel. In addition to the eye drops, I will help the obstruction of the lacrimal canal, the rods with ophloxacin, levofloxacin, tetracycline, which dacryocystitis wore allows it faster.

Doctors argue that those patients who have a purulent fluid for 2-3 weeks continues to emerge operation.

With such a disease, as dacryocytes, treatment is carried out by the formation of a completely new tear canal, bodging, sensing or washing with certain drugs.

At the active stage of the disease, vaccinations are prohibited. It is especially important to pay attention to the time of vaccination in children of younger and newborns. Any vaccine is an intervention in the body that can cause the most unexpected reaction. With inflammatory processes, in particular, with the obstruction of the lacrimal channel, it is necessary to refuse for a while.

From the funds of traditional medicine, dill, chamomile, tea, mint compress may become effective auxiliary means, which must be combined with medication treatment.

You must not forget about a massage that helps faster to defeat the disease. How to do it right, it is better to learn from an ophthalmologist. However, we still describe the principle of its implementation. 10 times you need to indicate fingers, tightly pressed or vibrating movements, descend along the line from the beginning of eyebrows to the wings of the nose.

11 times need fingers to spend in the opposite direction. If a pus comes out in the massage process, then you are all done correctly, and purulent discharges should be removed with cotton wheels, moistened with herbs or furaciline. If a transparent liquid came out, it should also be removed. Massage must be performed until the eye has completely passed, that is, until complete recovery.

Dacryocystitis is detected without much difficulty. At the reception, the doctor conducts a visual eye assessment and a palpation of a lacrimal bag.

Additional events:

Test using paint. The eye is burned with a solid with a coloring matter. If a minute later, a pigment appears in the eye, then this signals the blockage of the tear canals.
Sounding. Using the probe with a needle ophthalmologist is being introduced into the duct, which contributes to its expansion and deliverance from the problem.
Dacriaocystography. Conducting x-ray studies with the introduction of coloring substance. The picture you can consider the structure of the eye system and identify the problem.
Patency can also be checked Vesta test. In the bow, from the defeat, put your cotton swab. Collargol buried in the eye. The norm is considered a state when 2 minutes the swab turns into a dark color. If the tampon remains clean or paints after 10 minutes, it talks about the problem.

Test with a fluorescent dye. The test is carried out in order to check how well the drainage eye system works. In the eyes of the patient, drove a drop of a special solution with a dye. If in a few minutes with normal blinking a large amount of dye remains on the eye, then there is a problem in the outflow system.

Protecting the lacrimal channel. The doctor can use a special thin tool for the channel sensing to check its passability. During the procedure, the channel is expanding, and if the problem was before the procedure, it can simply resolve.

Dacriaocystography or dacryoscintigraphy. This study is intended to obtain an image of the eye outflow system. Before studying in the eye, a contrast agent is burned, after which the x-ray, computer or magnetic resonance imaging is made. Dye highlights the tear canals in the pictures.

Although the blockage of tear ducts in adults and children is accompanied by pronounced clinical symptoms, it is still necessary to conduct a survey. Otherwise, there is a risk to put the wrong diagnosis.

The survey may include:

Test with a fluorescent dye. This procedure Need to find out how the human eye drainage system is working. To do this, the patient in each eye is buried at 1 drop of dye, and a few minutes later, the appearance of the cornea is evaluated. If the paint remained in large quantities - it means that problems with the outflow of the tear fluid are present.
Protecting the lacrimal channel. The essence of this method is that the doctor introduces a special subtle tool into the tear canal and thus checks the permeability.
Dacryocystography. Thanks to this study, you can get an image of the eye outflow system. During the procedure, the specialist bursts a patient with a particular contrast agent, after which it performs CT (can only be done to detect the blockage of the lacrimal channel in adults) or MRI. Thus, the lacrimal channels become distinctly visible in the pictures.

If you need to identify microbial pathogens of the dacryocystitis, bacteriological sowing is carried out.

In typical cases, it is possible to recognize dacryocystitis external signs, typical complaints of the patient himself together, taking into account the examination of the doctor with the progress of the corner of the eye and the projection of the canal with a lacrimal bag. The doctor is based on the detection of tear and swelling of the angle of the eye, complaints about pain when taking the affected zone and appearance against the background of pressure from the tear points of transparent or turbid separated.

To evaluate the passability of a lacrimal channel in suspected dacryocystitis, the doctor applies a specific sample (Vesta or color). In the nasal stroke of the affected zone, they put a cotton swab, in parallel with it in the eye there is a protaticial solution. After 2 minutes, the staining of the tampon from the nose is estimated.

When it is necessary to clarify the level and degree of length of the channel damage, the doctor conducts the channel sounding. Also shows another passive sample, which confirms the violation of the channel's passability. An attempt to washing a bag with a channel does not lead to an outflow of a solution into the nose, it is shutdown from the tear points.

Additionally, as part of an ophthalmological examination, to clarify the diagnosis:

Eye biomicroscopy;
The use of fluorescent samples with instillation of solutions;
The use of contrasting radiography of all removal tears (dacryocystography). It uses a solution of iodolipol, which gives a clear idea of \u200b\u200bthe structure of all reservation paths, areas of their narrowing or blockage.
Sowing the contents of the bag with the release of microbes, as well as tests on the sensitivity of bacteria to antibiotics.

For differential diagnosis Or clarify the pathology option, the identification of combined health problems of the patient inspects the ENT doctor, it is necessary to perform rhinoscopy (inspection of the nose). If necessary, also advise the maxillofacial surgeon or a dentist, a neurologist or traumatologist.

Dacriacystitis in adults: Treatment

Eyes - soul mirror. When the problem arises with the eye, you should not risk. The treatment must appoint a doctor after preliminary diagnostics. The treatment method is selected depending on the shape and cause of pathology, which provoked it, age characteristics.

Treatment methods:

Washing eyes with antibacterial and disinfectant solutions.
The use of special drops and ointments.
Massage treatments and compresses helping to clean the channel.

Washing eyes with antiseptic solutions is carried out several times a day. The procedure is carried out by a doctor with an ophthalmologist in stationary conditions.

Ointments and drops that have an antibacterial effect:

Floxal. Antibacterial preparation of a wide range of exposure. Fights with an inflammatory process. The course of treatment is 10 days, two drops twice a day.
Dexamethasone. Drops possessing an antibacterial effect. Effective in infectious processes. Purify 5 times a day. The necessary dosage and course of treatment are selected by the doctor individually for each patient.
Levomycetin - hormonal drug. It is used in allergic reactions and inflammation.
Ciprofloxacin. Assigns with the infections of a lacrimal channel. I'm buried every three hours.

If the treatment does not have a positive effect, auction is carried out - cleaning the lacrimal channel from purulent content;

You can quickly cope with the disease only with timely treatment. With negative symptoms, you need to visit an ophthalmologist.

The treatment should not be made by parents without consulting the doctor. Tea, decoction or antibacterial drops must be appointed after visiting the Pediatrician Cabinet. Most often they help relieve inflammation only for a short period of time. The main goal of the treatment of illness in newborns is to ensure adequate passability of the canal and the waste of tears.

Treatment of the disease is simple, but requires careful implementation of all recommendations. At the first stage, the newborn is made of a tear canal massage, which is located on the inside of the eye. To achieve the rapid effect on treatment, the procedure is made at least four times a day. Doctors recommend to choose the period after feeding.

Movements should be peashed and head downward. The bag area is massaged five times on each side. In this case, all movements should be made with a certain power of presses. Massage actions are configured correctly in the event that a tear, mucus and pus began to be separated from the tear pouch.

When massage is completed, it is necessary to wash the cavity. For this purpose, a decoction of chamomile should be used, which is preparing at home. Do not forget to cool it to room temperature. Pediatricians are also recommended to use a fuchelin solution that can be purchased at the pharmacy.

Its with pipettes are burying into the area of \u200b\u200bconjunctivitis. To eliminate fluid residues, use a cotton disk. It is also effectively washing at which wiped with a cotton swab into the liquid. It should be removed only from the century, and not from the entire surface of the eye. Treatment should be made only using a fresh solution.

The therapeutic approach to the treatment of dacryocystitis depends largely on the following factors:

forms of the disease - acute or chronic;
age patient;
the reasons for the development of the disease.

Treatment of illness in adults begins with active washing of tear canals with disinfecting effects. Further appoints the use of special drops or ointments that prevent the spread of infection and have antibacterial effects - Floxal, Ciprofloxacin, dexamethasone, Levomycetin.

The type of surgical intervention proprietary Operation is to clean the tear canals using a special tool. The tear fluid after this operation is no longer blocked and the passability of the ducts is restored. This method is usually used if the patient has frequent recurrences of the diseases of the disease, the procedure is that an additional message is formed between the nasal mucosa and the lacrimal channel. Thanks to this operation, the pus ceases to accumulate, and the outflow of tears is normalized

Treatment of newborns

Many parents are trying to cure the baby from inflammation of the tear canals on their own - rinse the eyes of a child with braveractions of all sorts of herbs, put tea letters, they buy some drops on their choice, guided only by the opinion of the pharmacist and their intuition.

Some of these procedures can really have a positive effect, but only for some short time. After the discontinuation of these treatment methods, the child's eyes are again beginning to get pathnery, sometimes with the release of the pus. This is due to the fact that the cause of the disease is often the physiological pathologies, expressed in the obstruction of the tear ducts and these pathologies cannot be eliminated with one drops and rims.

That is why it is extremely recommended to take independent measures to treat the kid. If the first signs of the child's illness, it is necessary to show a specialist.

When detecting dacryocystitis in a child, a physician is usually assigned to special therapy, which consists in conducting special massage procedures, the use of antibacterial eye drops and washing the eyes with disinfecting solutions.

The massage of the tear canal is a very important part in the therapy of the dacryocystitis.

Training proper massage technique conducts a doctor. Before you begin to massage, the mother needs to be pretty wash your hands with soap. It is recommended to make a massage in sterile gloves, but you can simply slip your hands in a special antiseptic solution.

First, it is necessary to gently squeeze the contents of a lacrimal bag, then remove the separated gas with a tampon, moistened in a furacin solution. Only after these procedures can be processed to massage. Ideal time for massage - before feeding.

Massage is carried out 4-5 times a day, while you need to make squeezing movements on a tear bag. A too mild approach will not bring a special effect, but also to squeeze the patient, too, is also not recommended. A similar procedure will help to push the gelatin membrane inside the canal connecting the tear bag with the sinuses of the nose. Massage is very effective for newborn children. For adult children, such procedures will not give a special result.

After the massage, you can handle the eyes with a tampon dipped in a solution of chlorhexidine or furaciline, and then the same solution to drip into the eyes of the child, so that the separated substance was removed not only from the century, but also from the surface of the eyeball. Ready solutions can be used only during the day from the date of preparation. Instead of these medicines, it is possible to use grasses harassing with antibacterial effects: calendulas, chamomiles and others.

If a child in his eyes accumulates a lot of pus, it is recommended to use antibacterial drops - Albucid, Floxal, Tobrax. You need to bury them three times a day.

Conservative treatment of this disease makes sense only before the two-month old baby. If the massage and drops did not help, the sounding of the lacrimal canal is assigned. Under local anesthesia, a special probe is introduced into the tear canal of the child, which breaks through the membrane, which caused the development of the dacryocystitis. After that, the lacrimal channels are washed with antiseptics.

The effectiveness of such a procedure is very high in the first months of the child's life. The result is visible almost immediately - the baby disappears constant tears and tear of the eyes. After the operation, the use of antibacterial drops are prescribed.

ethnoscience

Cure dacryocystitis folk methods One can only if its appearance is not due to physiological pathologies.

A good effect can be injected into the eyes of aloe juice, diluted with water with water, or overlapping compresses with this juice. Instead of aloe, you can use squeezing juice. It is prepared and used in the same way as aloe juice.

The chamber has an anti-inflammatory property, due to which it can be used when dacryocystitis. This plant is drunk to a pair, then allowed to brew several hours, after which they are filtering. This decoction is washed sick eyes.

restoration of the pavement of the tear-nasal channel;

anti-inflammatory therapy.

Surgery

restoration of the pavement of the tear-nasal channel;
anti-inflammatory therapy.

Surgical therapy

In particularly launched cases, there is no alternative to surgical intervention. The restoration of normal tear is carried out using balonic dacryocystoplasty or endoscopic dacriaocystorinostomy.

Endoscopic dacriaocystorinostomy

The surgical intervention is based on the formation of a new message between the nasal cavity and the tear bag. The operation is carried out using modern minimally invasive equipment. In the clogged tear duct introduces an endoscope, providing good review Operational field. The same endoscope make a cut in a clogged tear canal.

The period of rehabilitation lasts 6-8 days. To avoid postoperative infectious complications, the patient is prescribed antibiotics (inside and locally in the form of eye drops).

Operation is contraindicated in patients with allergies for anesthesiological drugs.

Balmonious dacryocytoplastic

A secure operation that can be conducted even to children over 1 year old. The essence of the procedure is that a device equipped with a microscopic cylinder with liquid is introduced into the lacrimal channel through the inner angle of the eye. In place of blockage, the cylinder expands the cylinder at the expense of the pressure and reveals the walls of the lacrimal channel.

Medicia treatment

As antibacterial drugs use eye drops Floxal, Ciprofloxacin, Levomycetin and others. Also prescribed anti-inflammatory eye drops dexamethasone and vesseloring agents of local action.

In the acute course of the dacryocystitis, when the washing does not give the necessary effect, make a decision to conduct a channel sensing and assign an antibiotic course.

Submission - the procedure based on the restoration of the current of the fluid on the rose canal using a special rigid probe (buck). The method relates to gentle procedures, is used in acute form and frequent recurrences of chronic dacryocystitis.

To avoid infectious complications (purulent encephalitis, brain abscesses), antibacterial treatment is carried out in a hospital. Antibiotics (penicillins, cephalosporins, aminoglycosides) are prescribed intramuscularly either orally.

Massage

Massage - an important component conservative treatment. The procedure must be performed with clean hands in a certain sequence.

Sick the purulent secret from the tear bag, slightly pressing the finger on the inner corner of the eyelid.
In the inner angle of the eye, drip a solution of furaciline.
To carry out a massage - index finger to push the movement of the lacrimal bag 5-6 times.
Drink antiseptic eye drops assigned by Doctor.

The procedure is carried out 4-5 times a day throughout the healing course.

Get packaging tools to restore vision for free

After prior approval with the doctor, the traditional medicine is successfully used at home.

Folk treatments:

Aloe. When inflammation, fastened freshly prepared aloe juice, half diluted with saline.
Sock. Prepare similarly. Use to bundle eyes and superimpose compresses.
Chamomile has an antibacterial effect. It is necessary to take 1 tbsp. l. Collection, peak in a glass of boiling water and insist. Apply for washing the eyes.
Thyme. Thanks to anti-inflammatory properties, infusion is used with dacryocystitis.
Calanchoe is a natural antiseptic. Leaves cut and hold two days in the refrigerator. Next, get juice and dilute in proportion 1: 1 with saline. This agent can be applied to the treatment of children. Adults can be buried concentrated juice in a nose 2 drops. The man begins to sneeze, in the process of which the lacrimal canal is cleaned from pus.
Leaves with roses. Only those flowers that are grown on their own plot are suitable. It will take 100 gr. Collection and glass of boiling water. Peel five hours. Use in the form of a mow.
Burdus ivyovoid. Cutlery spooning herbs brew in a glass of boiling water, pecking for 15 minutes. Apply for washes and compresses.
Bell pepper. A glass of sweet pepper fruit drink every day. By adding a teaspoon of honey.

Compresses based on tinctures of mint, chamomile or dill.
Summies using tea welding. Package-Sasha needs to be lowered for a short water, cool and attach to the eyes. Cover the warm towel.
Drops or rows from Calanechoe juice.
Cold compresses. Used in twitching ages. Common fabric are wetting cold water And applied forever. The duration of the procedure is 15 minutes, and it is recommended to perform it 3 times a day.

Conducting massage procedures

Only a doctor can recommend effective methods elimination of dacryocystitis. One of these methods is a massage of a lacrimal channel, which brings a really guaranteed result. But he has one contraindication - a severe stage of the disease, which is characterized by the emergence of extensive inflammatory processes. In this case, the massage is categorically prohibited, since the pus can get into the tissues that surround the tear canals, leading to the formation of phlegmon.

The technique of holding such a procedure of parents teaches the doctor. Massage begins with the fact that its contents are squeezed out of a lacrimal bag. In a solution of furaticiline, a tampon is wedged and they are removed by the separated PC. The massage of the lacrimal canal is best carried out before feeding.

Sleeping should be not too soft, but not strong. Due to this exposure to the tear bag, the gelatin membrane is pushing inside the channel. Massage is effective only for newborn children, one hundred and older kids no longer brings proper relief.

Treatment with folk remedies

Dacryocytes folk methods difficult to overcome immediately. Definitely, the emphasis is placed on the massage. It needs to be done often and most effectively. It is important to achieve that the plug softened and came out, and with it and the suppuration. In traditional medicine after massage, droplets based on aloe are recommended. The juice of the leaf of a perennial plant needs to be squeezed and breed one to one. Such a mixture dripped eyes or make compresses in the evening and in the morning.

In order to avoid this, you should use Kalanchoe. The plant has long been familiar to us and even our grandmothers remember the effect of sneezing from droplets on its basis. Thanks to it, it is good to clean the nozzles of liquid or purulent and carry out the prevention of the blockage of the lacrimal channel. In the presence of eye inflammation, you can experiment with urinotherapy.

Moching your cotton disk in the urine, you need to wipe the eyes every two hours. After that, it is better not to touch them once again in order not to dismiss the infection. This method of course it seems a bit strange, but in practice it works. This is good, the swelling of the mucous membrane and redness helps to remove the chamomile with calendula. They are brewed in equal parts, and then wash their eyes actively. You can alternate a strong tea welding with herbs.

Complications of the disease

Due to the fact that tears can not drain where it should be, the liquid is stuffed, becoming a fertile soil for fungi, bacteria and viruses. These microorganisms can cause permanent eye infections.

In babies, the main sign of the obstruction of the tear canals is the suppuration ("zaking") of one or both eyes. The doctor immediately prescribes drops with antibiotics, the condition improves, but after the cessation of treatment, the infection appears again.

The biggest danger of the dacryocystitis is the possibility of the development of purulent and septic complications with lesions of the skin on the cheeks and centuries, in the fiber of the orbit or the back of the nose. No less dangerous, a breakthrough of pus inside the skull with the provocation of brain abscesses, encephalites or meningitis (inflammatory process of brain shells).

In chronic dacryocystitis, a secondary infection of the eye shells or a provocation of globbarites, keratitis or conjunctivitis occurs. Purulent ulcers can also be formed on the cornea, which leads to the formation of Luma and impairment of vision.

1. Development of swelling in the zone of the inflamed eye.

2. Pain with palpation fabrics near the eye.

3. The appearance of severe swelling in the zone of the lacrimal bag.

4. The strong narrowing of the eye slit, which is why it is difficult for a person to see.

5. Redness of the field of tear duct.

6. Loss of ability to work.

7. Fast fatigue.

8. Dizziness.

9. Faulting of fabrics.

10. Increased blood pressure (in adults).

11. Sealing tissues near the eye.

12. The formation of an ulcer at the place of swelling.

13. Loss of appetite.

14. Night pain in the eye.

1. Permanent tears.

2. The appearance of purulent secretions in the zone where an affectionant formed.

3. ENGLISH CENTER.

4. Morgania pain.

5. Strong pain.

6. Headache.

7. Sleep impairment.

8. Irritability.

9. Loss of skin elasticity under the eye (it can become fine, sluggish and easy to stretch).

In newborns, this disease can be identified by the presence of small purulent discharges and edema on centuries. If you do not cure such a state, then the child will have a constant tear of the eyes.

1. Flegmon is one of the most dangerous complications of this state. The phlegmon can not always open out. In this case, if the pus bursts into the patient's tissues, it will penetrate into the tear canals and can even be leaked into the skull. This will cause severe infection.

2. Because of the penetration in the tissue in the patient, the patient can not only increase the temperature, but also worsen the memory and develop failures in the work of the nervous system.

3. A person can lose sight and consciousness.

Such complications can only develop in the absence of timely treatment and postponement of the campaign to the doctor. If you visit the Doctors already at the first signs of the disease, then negative consequences can be avoided.

Dacriacystitis is enough serious diseasewhich, with untimely or improper treatment, may lead to serious consequences. In this respect, chronic chronic dacryocystitis is particularly dangerous, which can provoke infection of other eye shells.

Gradually, a cornea is involved in pathological processes, an purulent ulcer is formed, and in the future, Belmo is formed, which not only becomes a cosmetic defect, but also significantly reduces the visual function. In addition, the consequence of corneal ulcers can become inflammation of the internal structures of the eye, the development of endophthalmite.

Also the result of the lack of timely treatment can be dangerous diseaseresulting in disability or even a fatal outcome. It:

phlegmon orbit;
thrombophlebitis orbital veins;
sepsis;
inflammation of cerebral shells and internal structures of the brain.

Risk factors

As practice shows, the blockage of the tear canal is most often diagnosed in patients:

elderly;
having ever suffered a surgical operation in the eyes;
with eye diseases in history;
patients oncology.

Prevention of the disease

The exact causes of obstruction can be different, therefore there is no single prophylaxion method. To reduce the risk of infection, the rules of personal hygiene should be followed, do not rub their eyes with their hands, avoid contact with patients with conjunctivitis, never share cosmetics with outsiders, handle contact lenses.

If the process is not complicated by secondary pathologies, predictions are favorable, but against the background of the corneal ulcers, a loss or reduction of visual acuity is possible.

The basis of prevention is hygiene, protection against injuries of eyes and nose, timely treatment of colds.

Pediatric Alain, Pediatrician, Medical Observer

In the case of newborn, it is difficult to predict whether the baby will be born with or without pathology. Although even healthy kids over time, it may develop dacryocystitis if the mother does not comply with elementary hygiene. Eye to the child need to rinse daily, with lint-free cotton discs, moistened in warm boiled water. And at first suspicions, you should immediately contact the pediatrician.

Adult prevention lies in timely treatment of inflammatory and sharp respiratory diseases. Eyes should also be protected from dust, not touching them with dirty hands, observe sterility when equipped / shooting contact lenses. If the safety technique in the enterprise prescribes the use of protective glasses, should not be neglected. Any dust can cause blockage of tear ducts and provoke inflammation.

Timely diagnosis and treatment of infectious diseases of the eyes and ENT authorities makes it possible to prevent the development of the inflammation of the tear bag. Preventing ingress of foreign particles, compliance with hygienic rules also reduces the risk to get sick with dacryocystitis. In general, the forecast of this ophthalmological disease is favorable, but only under the condition early diagnosis And the full passage of the course of treatment.

Forecast

If the blockage of the lacrimal canal start treated on time, the forecast will be quite favorable. Otherwise, a person may form Belmo, endophthalmite, eye subatrophy, thrombophlebitis eye veins, inflammation of the brain shell and its fabrics, as well as sepsis.

In order to prevent the development of the blockage of a lacrimal channel, it is necessary to avoid injuries of the face and eye, in time to treat the pathology of ENT organs and strengthen the immune system.

Wall-cutting stenosis is the pathology of the structure of the tear-nasal channel, which arises due to its chronic inflammation.

In the absence of treatment, the risk of obstruction of the tear duct increases. There is a congenital form of stenosis pathology.

Terms of occurrence of the disease

On the occurrence of the stenosis of the nasal canal affect various factors, this pathology is not fully investigated. Destructive changes in the inner shell of the rose duct lead to its stenosis. The passability of the lacrimal canal is disturbed, in particularly severe cases, it is possible to complete the battle of its cavity.

Pathology arises due to viral, bacterial, dystrophic diseases of the conjunctive shell or mucosa of the nasal cavity.

Symptomatics

When the nasal duct is narrowing, the liquid is not able to leave the conjunctival bag in the usual way. It accumulates in a tear cavity, and when it comes to the edges of the century, it pours out of the bag. Based on this, the main sign of the stenosis of the tear canal is excessive tearing.

Due to the fact that the natural outflow of tears is disturbed. Malicious microorganisms and mechanical particles remain in a tear cavity, as a result, an inflammatory process occurs. It is manifested in the form of redness of the conjunctiva of the eye. The tear cavity increases, leather over it. In the inner corner there is a swelling, if it is made from a tear point, a pus or mucus is released from a tear point.

Diagnostic procedures

The doctor holds:

The sample on the reflux of the coloring solution of tear ducts.
Nasal sample.
Diagnostic washing of a tear canal.

To identify pathology, an x-ray of contrast is carried out. If necessary, the doctor prescribes the diagnostic sensing of the tear duct. To evaluate the total tearoproduction, the shimmer sample is carried out. Ultrasound examination, magnetic resonance imaging, computed tomography allows you to determine the condition of the tear paths and the lacrimal gland.

Treatment methods

The treatment method is chosen depending on the degree of narrowing of the nasal channel.

Drug therapy implies washing the tear paths with special preparations. Disinfectant solutions, antibacterial agents, glucocorticoids, proteolytic enzymes are used to treat the stenosis of the rosal canal. Effective in the treatment of dacryostenise laser on gelia mixture with neon.

Some doctors oppose the sounding of the nasal duct, arguing that this procedure is quite traumatic, and the effect of it is insignificant.

Dacryostenosis is carried out intaring the tear-nasal duct. At the same time, the tube from high-quality polymeric materials is used. The tube is injected into the roseal canal, eliminate it after half a year.

Balloon angioplasty is effective method Expansion of narrow tear paths. To do this, the tube with a cylinder is introduced into the tear-nose channel, which must be inflated so that the walls of the duct spread.

Stenosis and lack of tear ducts is the narrowing of the tear duct. This disorder may occur in children and adults. Etiology and pathogenesis: distinguished the congenital stenosis and lack of tear ducts: - the atresia of the tear point; - narrowing, underdevelopment of the tear point; - deformation of the tear point; - additional tear points; - Dislocation of tear points. As well as purchased: - narrowing of the tear point; Turnout of the lower tear point; - senile hypertrophy of tear nipples. The risk factors for the appearance of the stenosis of tear ducts in the child are: premature labor; Anomalous development of the face or skull. Symptoms: Tearing; Periodic redness or eye irritation; Infections of the tear duct (inflammation of the lacrimal bag), which causes redness, swelling around the eyes, the selection of the pus; Muddy or mucous-like discharge of tear duct; Crust in the eyelids; Blood in tears. Diagnosis is a medical examination and analysis of the anamnesis - a visometry (measurement of visual acuity) - inspection - the sewage and tear-free samples. Treatment Expansion of the lacrimal point by the method of Arlat. Operation according to the Bleshevich method (when the bottom lacrimal point is twisted). Operation by the method of Byshysov. Dispensary observation 1 time per year.

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Paracetamol	Effective antibacterial drug with anti-inflammatory, analgesic and antipyretic properties. Excellent copes with infectious and inflammatory processes, due to which it is actively used in the treatment of dacryocystitis.
	Another antibacterial drug used in the treatment of various pathologies of an inflammatory or infectious nature. Possessed bactericidal properties, at the expense of which the drug is actively struggling with intestinal chopsticks, staphylococci and streptococci. Produced in the form of eye drops.
Vigamoks.	Antimicrobial medical preparation with bactericidal properties. Negatively affects acid resistant, gram-positive and gram-negative bacteria. Used in the treatment of dacryocystitis and other ophthalmological pathologies.
Onceclix	As active component This preparation is levofloxacin - a substance with antimicrobial and anti-inflammatory properties. The drug is actively used in medicine in the treatment of inflammatory eye lesions.
Gentamicin	The remedy has bactericidal and anti-inflammatory properties. Negatively affects pathogenic microorganisms, due to which it is used in severe purulent infections. As a rule, gentamicine is appointed in cases where other antibacterial drugs were powerless.

Stenosis and lack of tear ducts. Symptoms of dacryocystitis in newborn children, treatment with blockage and narrowing of a lacrimal canal hiking and new appointments

2 Symptoms of the disease

3 Diagnostics

4 Treatment

5 Radical ways of struggle

6 Massage

7 Folk remedies

Causes of obstruction

Characteristic symptoms

Diagnostic features

Treatment methods

Pharmacy drugs

Massotherapy

Surgical intervention

Prevention measures

Video - how to make a massage of a lacrimal canal

Types of dacryocystitis

Causes of the disease

Symptoms of dacryocystitis

Diagnosis of dacryocystitis

Preparation of the tear canal

What it is?

Diagnostics

Endoscopic dacriaocystorinostomy

Balloon dacryocytoplastic

Complications

Prevention

The reasons

Risk factors

Risk factors

Risk factors

Types of dacryocystitis

Stages of development of dacryocystitis, classification

Diagnostics

Sounding a lacrimal canal

Burning for the expansion of the lacrimal channel

Operational methods of treating inflammation

Treatment of disease in children and adults

Diagnostics

Signs

Causes and symptoms of inflammation of the tear canal. Methods for treating inflammation of the tear canal

Diagnostics

Video - The obstruction of the lacrimal canal. Tell the doctorAznauryan I.E.

Diagnostics

Treatment

Diagnosis of the disease

Preparation of the tear canal

Dacriacystitis in adults: Treatment

Treatment of newborns

ethnoscience

Surgery

Surgical therapy

Endoscopic dacriaocystorinostomy

Balmonious dacryocytoplastic

Medicia treatment

Massage

Get packaging tools to restore vision for free

Conducting massage procedures

Treatment with folk remedies

Complications of the disease

Risk factors

Prevention of the disease

Forecast

Terms of occurrence of the disease

Symptomatics

Diagnostic procedures

Treatment methods

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