Dacryocystitis/ Puyalasa/ Puyasrava, Shalakya Tantra
Dacryocystitis (Puyalasa or puya srava) it is the inflammatory condition of the Lacrimal sac Dacryo Cystitis : 1) Congenital (in the new born) 2) Primary- {Chronic, Acute 3) Secondary { in Adults, in Infants. I) Congenital dacryocystitis :This condition is due to failure in canalization of Naso Lacrimal duct, the iumen being blocked by epithelial debris Signs :( 1) Epiphora (Watering of eye) 2) Muco purulent discharge through punctum by pressing over the-sac area. 3) Slight distention of Lacrimal sac 4) The discharge is sterile at first later becomes infected Symptoms :- Discomfort, watering , foul sticky discharge at inner canthus Treatment. : 1) Sharp pressure over the sac area, 5 to 6 times a day to evacuate the pus and has to put antibiotic drops, 2) By gentle pressure over sac area may force the sac contents down, thus the patency of Naso Lacriamal duct is achieved. 3) Probing of Naso Lacrimal duct has to do, if delayed causes cic...