How is dacryocystitis treated?

Updated: Jul 31, 2018
  • Author: Bobak Zonnoor , MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Treat this disorder with oral antibiotics such as amoxicillin-clavulanic acid or dicloxacillin. In pediatric patients, the obstruction usually resolves by age 9-12 months. Many pediatric ophthalmologists will wait until after this age to probe the ducts to free the obstruction. [82]

Dacryocystorhinostomy is the surgical procedure of choice. This operation allows for the bypassing of the lacrimal duct apparatus as long as the canalicular apparatus is intact. [83]

Punctal dilation and nasolacrimal irrigation is contraindicated in the acute stage due to the increased risk of periorbital cellulitis.


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