Definition

Dakriosistitis is an inflammatory in the eye bags that usually occur due to blockages in the tear tract to the nose and buildup of tears in the bag. The highest number of dacrystitis events in two age groups: newborns and adults over 40 years of age. The rate of incidence of congenital tearway blockage occurs in 6% of newborns, and adgriosetitis occurs in 1 in 3,884 live births. In adults, women experience this condition more often than men.

Cause

Tears are produced by the tear glands, which are located on the upper side of the eye. Tears serve as moisturizers and eye holders. Then, the tears will flow into the drains into the eye bags, and then flowed into the nasal cavity.

In general, darriosisitis is caused by blockages in the canal that drains tears into the nasal cavity. Furthermore, dabriosisitis can be divided based on its duration (acute and chronic) as well as the time of appearance (carrying or obtaining). Acute dkriotics are usually caused by bacteria such as bacteria Staphylococcus aureus, Streptococcus beta hemolyticus, Staphylococcus epidermidic, Streptococcus pneumoniae, and Pseudomonas aeruginosa. Meanwhile, chronic dacryhosisitis is caused by long-standing blockages, repeated infections, or autoimmune diseases such as systemic erite dilute (LES).

Dakriosistitis that occurs as a congenital is born is usually caused by imperfections in the formation of tear canals. This causesEL fluid that is still found in the tear tract cannot be channeled out and infected with bacteria. Meanwhile, the dabriosisitis obtained at an adult age can be caused by aging which causes narrowing of the tear tract structure, trauma such as nasal fractures, surgery on the nose, tumor, or other disease treatments such as glaukuma.

Risk Factors

The risk factor of dagriostitis is related to the cause. Based on gender, women are more susceptible to denriosisitis due to the diameter of the tear tract that is narrower than men. Based on age, the older a person's age, the higher the risk of denriosisitis, due to the narrowing of openings in the tear tract which causes the flow of tears to slow down. In addition, conditions on the nose such as septum deviation (splitage separating the right and left nasal cavities), as well as inflammation in the nose can increase the risk of dgrisosisitis. Trauma or surgery involving nasal bone can also increase the risk. In addition, tumors and autoimmune diseases also increase such risks. However, there are also adariotics, cell-cell assemblies, fats, and impurities in the tear channels that can clog the channel thereby increasing the risk of dgrisosisitis. Conditions such as Glaukuma require drug therapy, among which timol and pilokarpin, which can increase the risk of dkriosistitis.

Symptoms

Symptoms of acute and chronic denriotics are different. In acute accretionosisitis, symptoms can appear for several hours to day, characterized by pain, redness, and swelling in the area between the eyes and nose. Usually, pain is limited to the area between the eyes and nose. Redness can also be seen up to the nose stem. In addition, a liquid such as pus can also come out of the tip of the channel along with the release of tears. Meanwhile, in chronic dgriotics, the most frequently complained of symptoms are excessive tears and pus-like.

In addition, fever complaints can also arise. Other complaints can be related to vision, such as a sharp decline in vision. However, this sharp decline in vision usually occurs due to abnormal layers of tears due to channel blockages. 

Diagnosed

Diagnosed acrystitis is usually performed by doctors by asking about the journey of the disease and its history. In acute accretionitis, doctors can perform soft massages in tearways to remove some of the fluid so that bacterial examinations such as Grams and culture can be carried out. If you have a history of trauma or surgery, the doctor can suggest that you undergo a CT scan. In addition, imaging in tearways such as dagrioticography (DCG) can also be done if you are suspected of having a structural disorder in the tear tract. If you have rinitis (inflammation in the nasal cavity) or narrowing of the nasal cavity, the doctor can do nasal endoscopy to find whether adacrystitis occurs due to this or not.

Doctors can also check using dyes to evaluate the flow of tears. If the dye is not lost in 5 minutes, it is suspected that there is a blockage in the channel.

Meanwhile, in chronic dyriotics, doctors can look for symptoms of diseases affecting the whole body such as LES, Wegeneral granulobarosis (inflammation of nasal vessels, throat, lungs, and kidneys), and so on. Doctors can also perform antibody checks related to these diseases, such as Antinuclear Antibody (ANA) for LES, or Antineutrophic Cytoplasmic Antibody ANCA) for the granuloular wegener.

Laksana Procedure

Administrosisitis management depends on the cause. In acute accretionitis, doctors can conduct soft massages on the tear tract to smooth the flow of tears. In addition, you can be advised to compress the warm area that is swollen to lower inflammation. Doctors can also give you drinking antibiotics to treat bacterial infections. In dacryhosistitis that occurs due to congenital birth, doctors will teach you to do soft massages from the middle eye to the nose to help drain tears. If there are signs of inflammation such as redness or swelling, doctors can precipitate antibiotics. Congenital Dakriosistitis can heal after 6 months to 1 year in these ways.

Meanwhile, chronic darriosisitis can usually heal with surgery. This chip generally aims to open the tear tract so that the flow of tears to the nose becomes smooth. 

Complications

Complications that can occur due to darriosisitis can occur due to inflammation or infection. Prolonged inflammation can lead to the formation of an abnormal tear channel, referred to as a phystula. Meanwhile, infection can spread to form a cavity containing pus called abscess or then spread to the brain membrane causing meningitis. Other complications can be in the form of blockage of cavernosus sine blood vessels in the head area, blindness, and death.

Prevention

Prevention of acrystitis can be done by maintaining cleanliness in the nasal cavity and eyelids. Hygiene in the nasal cavity can be maintained by spraying nasal spray to smooth the flow of tears into the nose. Meanwhile, the cleanliness of the eyelids can be maintained with a warm compress and cleans the eyelids themselves.

When do you have to go to a doctor?

If you suddenly experience swelling in the area between your eyes and nose, which can be preceded by trauma or surgery (or not at all), you can visit a doctor for therapy. If your newborn baby experiences swelling in the area between the eyes and nose, you can take your baby to a doctor for further examination and therapy.

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