If left untreated, dacryocystitis will become the focus of eye infection, causing conjunctivitis, keratitis, corneal ulcer and other diseases, and even causing irreparable consequences such as blindness. When it develops into acute dacryocystitis, there will also be symptoms such as redness, swelling and pain of the skin in the inner canthus lacrimal sac area. How to effectively prevent chronic dacryocystitis?
Ophthalmologists point out that if the lacrimal passage is blocked or narrowed due to inflammation, trauma, foreign bodies and other reasons, the drainage of tears will be blocked, and a large number of tears will accumulate in the lacrimal sac, which will lead to a large number of bacteria, thus leading to chronic dacryocystitis.
1, keep your eyes clean and sanitary, and don't rub your eyes with dirty hands or handkerchiefs. Actively treat trachoma, blepharitis and other ophthalmia.
2. In case of tears in the wind, you should go to the hospital as soon as possible to find out the reason and treat it in time.
3. Patients with deviated nasal septum, lower turbinate hypertrophy, chronic rhinitis or nasal polyps should be treated as soon as possible.
Because of the long course of chronic dacryocystitis and slow response, patients often lack information and patience. This requires patients to have the confidence and courage to overcome the disease and insist on treatment for a long time. The common method is to squeeze the lacrimal sac area (big canthus) 2 ~ 3 times a day, then drain pus, and then drop antibiotic eye drops 3 ~ 4 times a day. Also pay attention to eat less or not to eat spicy foods such as peppers and green onions, and ban alcohol. When conservative treatment fails for 6 months, go to the hospital as soon as possible to seek the help of a professional eye plastic surgeon to judge whether surgery is needed.
Conventional methods for treating dacryocystitis
(1) Acute dacryocystitis: Early treatment, local hot compress and systemic application of sufficient antibiotics. When abscess fluctuates, incision and drainage are performed. After acute inflammation subsided, we should seize the opportunity to treat chronic dacryocystitis. When lacrimal sac fistula exists, the fistula can be removed at the same time as dacryocystorhinostomy or dacryocystectomy.
(2) Neonatal dacryocystitis: After the acute inflammation is controlled, press the swollen dacryocystitis with your fingers and massage downward. Forcing the retaining material to break through the closed end, thereby releasing the locked state. Pressurized irrigation can also be used, that is, pressing the lacrimal punctum. Pressurized injection of saline containing antibiotics from the inferior lacrimal punctum, if it still fails, lacrimal passage probing can generally be cured.
(3) Chronic dacryocystitis: The treatment should first empty the secretion in the lacrimal sac, and then drop antibiotic eye drops in the conjunctival sac to reduce purulent secretion. The probing operation can only be attempted after the lacrimal sac secretion is fully washed. Attention should be paid to avoid forming false channels and damaging lacrimal canaliculus to increase the blocking range. The basic treatment should also be dacryocystorhinostomy. If there are no conditions, dacryocystectomy can also be done.