A 61-Year-Old Woman With Swelling of the Lower Eyelid

C. Robert Bernardino, MD

Disclosures

January 12, 2010

Comment

This patient illustrates a typical case of acute dacryocystitis. The classic presentation is acute onset of medial canthal swelling with erythema and pain, associated with previous tearing. Although oral antibiotics can suppress the acute infection, DCR is the definitive treatment after the infection has resolved. In cases where infection is progressive or patient comfort is compromised, incision and curettage is indicated. Some authors advocate DCR during the acute dacryocystitis phase, but this may be associated with recurrent infection, failed DCR, or fistula formation.

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