A 40 year old man has pain, redness and swelling over the nasal end of his right lower eyelid. The eye is watery with some purulent discharge. The redness extends on to the
nasal peri-orbital area and mucoid discharge can be expressed from the lacrimal punctum. What is the SINGLE most appropriate clinical diagnosis?
A. Acute conjunctivitis
B. Acute dacryocystitis
C. Acute iritis
D. Retrobulbar neuritis
E. Scleritis
Acute dacryocystitis Acute dacryocystitis is an acute inflammation of the lacrimal sac, often as a result of infection.
Presentation Symptoms and signs are over the region of the lacrimal sac (but may spread to the nose and face with teeth pain being experienced by some). Therefore, look just lateral and below the bridge of the nose for: - Excess tears (epiphora) - Pain - Swelling and erythema at the inner canthus of the eye
Immediate antibiotic therapy may resolve the infection.