General characteristics of the disease
Dacryocystitis called plaintively-nasal blockage of the channel as a result of inflammation of the lacrimal sac. The cavity is washed by the tears of the eye, preventing it drying out and breeding of harmful bacteria in it. Zatёm slёznaya liquid enters the lacrimal points located in the inner corner of the eye to the upper and lower eyelids. Dacryocystitis develops if inflamed and clogged one of these points, and if broken the overall throughput plaintively-nasal canal, the lacrimal sac and the lacrimal canals.
When dacryocystitis disrupted the natural outflow of tears. Fluid accumulates in the eye and constantly pouring through the lower eyelid. Dacryocystitis of newborns do not always need treatment. Until the third week of life is considered a natural physiological phenomenon, as lacrimal ducts child closed gelatinous film. If the film on their own breaks, treatment of newborns with dacryocystitis is required.
When dacryocystitis adult obligatory consultation of the ophthalmologist. It is important for the differential diagnosis of conjunctivitis, dacryocystitis, in which both eyes are inflamed right. Without massage, medical and sometimes surgical treatment dacryocystitis adult alone fails.
Causes of neonatal dacryocystitis and adults, as a rule, different.
Partial or complete blockage, nasal tearfully channel leading to dacryocystitis adults often cause phenomena of atherosclerotic or infection.
Dacryocystitis occurs in newborns as a result of conservation gelatinous plug that protected the lower part plaintively-nasal canal during the prenatal period. Normally, this film is to break with the baby's first breath. Sometimes it takes a break for 2 weeks of a child's life.
About 5% of children of the first months of life in need of treatment dacryocystitis of newborns for the reason that an independent break gelatinous film has not occurred.
Dacryocystitis neonatal infectious etiology occurs much less frequently.
Symptoms include chronic dacryocystitis tearing and swelling of the lacrimal sac, located in the lacrimal fossa near the inner corner of the eye. When pressed on this area appears purulent dacryocystitis or muco-purulent discharge. Also looks edematous conjunctiva eyelids.
Within dacryocystitis can also be acute. When there is a sharp redness field lacrimal sac and closure of the optic fissure. Within a few days in the inner corner of the eye is formed fistula. It may itself become evident with the release of pus lacrimal sac.
Prolonged chronic course dacryocystitis adult or child may stretch strong lacrimal sac. In this case, the skin covering it thins and becomes bluish tint.
Dacryocystitis eye is hazardous to health, as it can lead to infection of the cornea, its damage and vision problems.
Diagnosis dacryocystitis based on complaints of the patient and the clinical picture with the characteristic symptoms of the disease. Confirm plaintively-nasal blockage of the channel by using the sample Vesta. For this purpose the nose is inserted into the patient a cotton wick, and the eye cavity is dug kollargolovy solution. After a few minutes at the unbroken cross plaintively-nasal channel wick should be painted. Clarify the blockage at dacryocystitis lacrimal system by using the X-ray contrast.
Treatment of dacryocystitis
Standard treatment of neonatal dacryocystitis - systematic application of massage. When it is carried dacryocystitis least 2 weeks up to 10 times per day. With regular and proper conduct of massage dacryocystitis in most cases can be cured without surgery.
The purpose of massage for dacryocystitis - break gelatinous film. All manipulations are carried out with clean hands at home the parents of the child. Massage at dacryocystitis begins with squeezing the contents of the lacrimal sac. Then, in the eye cavity dug solution furatsilina and completely removed pus. And only then we can proceed directly to the therapeutic massage. When dacryocystitis massaging fingers jerky movements must be carried out in the area of the lacrimal sac. After the massage, the eye drops should be drip disinfectants.
If the treatment of dacryocystitis in the newborn massage proved to be ineffective, the child is sent to the intubation plaintively-nasal canal. Surgical treatment of neonatal dacryocystitis is recommended at age 2-3 months. It is done under general anesthesia and in most cases is successful.
Children older than 3 years, as well as in adults dacryocystitis recommended that a dacryocystorhinostomy. While it is modeled artificial plaintively-nasal canal connects the communication between the cavity of the eye and the nose.
When dacryocystitis of newborns is possible to use low-impact laser dacryocystorhinostomy. Surgical treatment of dacryocystitis in adults involves the use of male or endonasal dacryocystorhinostomy.
Resection of lacrimal sac dacryocystitis when adults use only in exceptional cases. At the initial stage of the disease used disinfectants and antibacterial wash, nasal intubation, as well as the UHF-therapy and hot compress for acute dacryocystitis during adult.