Acute Primary Dacryocystitis, Shalakya Tantra
ACUTE PRIMARY DACRYOCYSTITIS it is an acute suppurative inflammation of Lacrimal sac, commonly observed as a complication of chronic dacryocystitis (some times occur spontaneously ) Causative agents : Strepto cocCus haemolyticus, pneumo cocus and staphylo coccus aureus. Patholoy:-The sac get full with frank pus, infection also spreads to periphery and causing pericystitis, finally lacrimal abscess forms, that bursts on the skin and cause Lacrimal fistula, as soon as pus drained out the inflammation subsides. Symptoms : Severe pain, hot sensation over the sac area, fever and watering of eye. Signs :1) Marked swelling, tenderness, hot and redness over the sac area (2) oedema of eyelids (3) No regurgitation of sac contents through punctum (4) chemosis of conjunctiva (5) Enlargement of sub maxillary lymphgtands (6) Formation of Lacrimal abscess, that may burst and cause lacrimal fistuta (7) Pati...