Usually a female patient complains of abnormal lachrymation with pain, redness and distension of the lachrymal sac. There is discharge of mucous or a mucopurulent material in the conjunctival sac. The condition is that of CHRONIC DACRYOCYSTITIS.
SYMPTOMS OF ACUTE DACRYOCYSTITIS
- pain, redness, and swelling in the inner corner of the eye
- watery eye
- swelling in the corner of the eye next to the nose
- eye redness
- pus or mucus in the corner of the eye
Symptoms of chronic dacryocystitis are usually milder. You may notice tearing and some discharge from your eye, but little to no swelling.
CAUSES OF ACUTE DACRYOCYSTITIS
The infection usually starts because of a blockage in the tear duct. Possible causes of this blockage include:
- injury to the nose or eye, such as a broken nose
- growths inside the nose called nasal polyps
- sinus inflammation
- nasal or sinus surgery
- foreign object in the duct
Dacryocystitis is most common in babies, who can be born with a blockage of the tear duct. This is called congenital dacryocystitis.
Middle-aged women are more likely than men to have a blockage because their duct is naturally narrower. The condition becomes more common as you age.
Other risk factors for dacryocystitis include:
- deviated septum, when your septum (the thin wall between your nostrils) is off-center, making one nostril smaller than the other
- rhinitis, or inflammation of the mucous membrane in the nose
- inferior turbinate hypertrophy, or swelling of one of the bony structures in your nose that help filter and humidify the air
PREVENTION OF ACUTE DACRYOCYSTITIS
You can prevent future infections by having surgery called dacryocystorhinostomy to widen the blocked duct.
If you or your child often gets tear duct infections, one way to prevent them is to drain the tear sac. Wash your hands, then hold a warm, wet washcloth over the tear sac. Carefully place your finger in the corner of your eye near your nose and apply pressure to the tear sac. Fluid or pus should release from the sac. Afterward, hold the warm
COMPLICATION OF ACUTE DACRYOCYSTITIS
An acute infection can become chronic if you don’t treat it quickly enough. In babies with congenital dacryocystitis, the infection can spread into the eye socket. This can lead to life-threatening complications such as:
- brain abscess, a collection of pus in the brain
- meningitis, or inflammation of the membranes around the brain and spinal cord
- sepsis, a body-wide inflammatory response caused by infection
HOMEOPATHIC TREAMENT OF ACUTE DACRYOCYSTITIS
Untreated cases of chronic dacryocystitis always run a risk of developing acute dacrycystitis. Intense inflammatory reactions occur in the sac and surrounding tissue. It may be associated with abscess formation. There is a general systemic upset.
Pulsatilla nigricans has profuse lachrymation and secretion of mucous. Weeping eyes and conjunctivitis from colds, but worse in a warm room. Lids get inflamed and agglutinated. There is a lot of itching and burning in the eyes.
Silicea terra is indicated in inflammation of the eyes, particularly in the angles of the affected eyes, swelling of the lachrymal duct, stricture of lachrymal duct. Eyes are tender to touch, worse when closed. Sensation as if cold of a foreign body in the eye.
Agaricus muscarius suits weak eyes, which have hot been exerted. Swelling of tear glands. Lachrymation from smells or on coughing. Pupils are dilated and sensitive to light, even candle light. Inner canthi are red; gum in canthi. Eyelids itch and agglutinate; reduction of space between the eyelids.e.t.c