World Journal of
Pharmaceutical and Life Sciences

DACRYOCYSTORINOSTOMY IN A PATIENT WITH NASOLACRIMAL DUCT OBSTRUCTION DUE TO CHRONIC DACRYOCYSTITIS: A CASE STUDY

I. Gusti Bagus Teguh Pramana*, Sari Marina, Luh Pradnya Ayu Dewantari and I. Gusti Nyoman Gde Bidura

ABSTRACT

Lacrimal duct obstruction is an eye disease due to obstruction in the lacrimal duct which is divided into congenital and acquired. Acquired nasolacrimal duct obstruction is most commonly caused by infection, of which dacryocystitis is the most common cause. Predisposing factors for dacryocystitis were age over 40 years and female gender. Other diseases such as diabetes mellitus (DM) can be a risk factor, because it can increase susceptibility to infections, including eye infections. The gold standard procedure for operative treatment of dacryocystitis is external dacryocystorhinostomy (DCR). Female, 43 years old, complained discharge from her left eye, accompanied by pain, swelling and an enlarged lump. Complaints have been come and go since the last 4 years and getting worse 3 days ago. The patient has a history of uncontrolled DM. On examination, visual acuity in the both eyes was 6/6. The anterior segment of the left eye shows erythema, a mass in the form of an ill-defined lump in the left medial canthus, and tenderness. There was reflux on both punctums in the left eyelid when the medial canthus was pressed. The Anel test was negative on the superior and inferior punctums of the left eye. The patient was diagnosed with nasolacrimal duct obstruction et causa acute on chronic dacryocystitis in the left eye and was performed external DCR. Obstruction of the nasolacrimal duct can occur due to chronic dacryocystitis, further treatment is an external DCR. The insertion of a silicone tube can increase the success of an external DCR procedure.

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