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Dacryocystitis and Dacryoadenitis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Dacryoadenitis and dacryocystitis are inflammatory conditions affecting the lacrimal system of the eye:

    • Dacryoadenitis is inflammation or infection of the lacrimal gland from which te...

Diagnosis

Both will present as a unilateral, red, painful eye. 

Signs and Symptoms

Dacryoadenitis

May present as an acute or indolent swelling and erythema of upper eyelid 
  • Swelling and tenderness greates...

Treatment

Ed Treatment/Procedures

  • Early diagnosis and initiation of treatment will reduce risk of extension of infection to adjacent structures and systemic infection.

  • Topical antibiotics may be conside...

Follow-Up

Disposition

Admission Criteria

  • Adults:

    • Febrile or toxic appearance

    • Concomitant medical problems including diabetes or immunosuppression

    • Extensive cellulitis

    • Suspicion of adjacent spread with deep ...

Pearls and Pitfalls

  • In cases of red eye with lid swelling, specifically examine the lacrimal structures for evidence of involvement.

  • Skin incision and drainage of dacryocystitis should be avoided whene...

Additional Reading

  • Goold  LA, Madge  SN, Au  A. Acute suppurative bacterial dacryoadenitis: A case series. Br J Ophthalmol.  2013;97(6):735–738.

  • Kiger  J, Hanley  M, Losek  JD. Dacryocystitis: Dia...

Codes

ICD9

  • 375.00 Dacryoadenitis, unspecified

  • 375.30 Dacryocystitis, unspecified

  • 375.32 Acute dacryocystitis

  • 375.01 Acute dacryoadenitis

  • 375.02 Chronic dacryoadenitis

  • 375.03 Chronic enlargement of lacrimal ...

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