Bilateral dacryocystitis after punctal occlusion with thermal cautery.
A 61-year-old woman developed acute bilateral dacryocystitis secondary to Staphylococcus aureus 3 weeks after undergoing punctal occlusion with thermal cautery for keratoconjunctivitis sicca. The dacryocystitis resolved with intravenous antibiotics, aspiration of the lacrimal sacs, injection of sulfacetamide into the lacrimal sacs, and bilateral dacryocystorhinostomy. Preexisting bilateral nasolacrimal duct obstruction was postulated as the underlying cause. In these cases, irrigation of the lacrimal system is recommended before proceeding with punctal occlusion.
Marx
J L
JL
Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago College of Medicine 60612.
Hillman
D S
DS
Hinshaw
K D
KD
Olson
J J
JJ
Putterman
A M
AM
Lam
S
S
D000900:Anti-Bacterial Agents; D003607:Dacryocystitis / Q000188:drug therapy / Q000382:microbiology*; D003608:Dacryocystorhinostomy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004564:Electrocoagulation / Q000009:adverse effects*; D015818:Eye Infections, Bacterial; D006801:Humans; D007638:Keratoconjunctivitis Sicca / Q000601:surgery; D007765:Lacrimal Apparatus / Q000382:microbiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections
D000900:Anti-Bacterial Agents