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25 Cards in this Set

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what is a collection of amniotic fluid within an obstructed lacrimal sac? I appears as a firm bluish mass on the side of the nose and inferior to the medial canthus.
Congenital dacryocele
how do you treat a congenital dacryocele?
Hot compresses and massage, most infants will require probing. you can also use upward massage to open the punctum.
what is the result of a failure of the nasolacrimal duct to completely canalize during gestation? And what could it cause as a secondary problem?
Congenital nasolacrimal duct obstruction, and it could cause bacterial dacryocystitis and or conjuctivitis, because the tears are held in the canals allowing bacteria to grow.
How do you manage a congenital nasolactimal duct obstruction?
warm compresses bid to qid, also use a topical antibiotic such as erythromycin bid for one week if there is a mucopurulent discharge. also have parents massage downward to open valve of hasner. If it doesn't resolve spontaneously by the age of 6 to 13 months probe it.
what is a possible diagnosis if a baby has photophobia, excess tearing, and a large diameter cornea (12+).
congenital glaucoma, DDX from congenital tearing
note that this is best treated with surgery by removing some of the Tb
how could you test for Acquired nasolacrimal duct obstruction?
Jones test
Acquired nasolacrimal duct obstruction could often lead to?
Acute dacryocystitis. (inflammation of lac sac).
How do you treat Acquired nasolacrimal duct obstruction?
first try warm compresses, a topical antibiotic- steroid if there is partial obstruction.
If this is not successful then turn to surgery. Dacryocystorhinostomy (DCR). the insertion of a silicone tube (Jones tube).
what type of bacteria cause the infection acute dacryocystitis?
staphylococci, streptococci, E. coli, pseudomonas, and other gram negatives.
what are some of the causes of nasolacrimal duct obstruction?
long and narrow nasolacrimal ducts, lacrimal sac diverticulum, trauma, dacryoliths (stone), or inflammatory sinus and nasal problems.
what would show as a tender red bump in the area inferior to the medial canthus? could extend about 2 cm below canthus.
Acute dacryocystitis
what is the treatment for Acute dacryocystitis?
-Warm compress tid,
-systemic antibiotic such as oral augmentin
-also a topical antibiotic suchas erythromycin if conjunctivitis exists
-aspirate the lacrimal sac contents with 19 gauge needle for culture testing.
-could consider incision and drainage.
- Consider dacryocystorhinostomy DCR.
If the infection in the lacrimal region has no sign of being acute reactions it should be considered?
chronic daryocystitis
Which lobe of the lacrimal gland is affected more frequently?
the palpebral more than the orbital.
Most often Acute dacryoadenitis is caused by?
Acute dacryoadeitis is usually associated with systemic infections such as mumps, epsein barr virus and herpes zoster.
what is the diagnosis if the pt has temporal upper eyelid inflammation, sinusoidal lid tearing, discharge, fever, and possible proptosis
Acute Dacryoadenitis, the proptosis only occurs if the orbital lobe is involved (not often)
management acute dacryoadenitis?
treat the underlying infection or inflammation.
what is more common chronic or acute dacryoadenitis?
chronic
what is seen primarily in young black females, and could be associated with sarcoidosis, thyroid ophthalmopathy, sjogrens syndrome, or a tumor?
chronic dacryoadenitis
what is lacrimal gland sarcoidosis (granulomatous inflammation) know as?
chronic dacryoadenitis - sarcoi
what is the triad of sjogrens syndrome?
dry eye, dry mouth and arthritis.
what is a possible diagnosis if there are no signs of inflammation but the globe is displaced. with enlargement of the lacrimal fossa?
lacrimal gland tumor.
what is the most common and the second most common etiology of canaliculitis?
1. actinomyces Israelii (filamentous grom + rod)
2. Candida albicans (yeast)
Pt has erythema and swelling of punctum and adjacent tissues, also conjunctivitis around the medial canthus. What is a possible diagnosis.
canaliculitis.
canaliculitis that has sulfur granules associated with it is an infection caused by what organism?
actinomyces Israelii.

- remove the granules