Dr.Rashmi kumari, K12746
Aim;To assess the success rate of probing in the management of infantile acute dacryocystitis and to analyse the factors affecting it.Methods: A prospective interventional study was designed.Infants presenting with acute dacryocystitis at a Tertiary Eye Care Centre from May 2016 to April 2017 were enrolled. Demographic and baseline details noted ,Intravenous antibiotics were started and probing under GA was done. Follow up was done after one month for subsidence of acute attack and resolution of epiphora.Results: A total 20 eyes of 18 patients were included with male:female ratio 10:8. mean duration of symptoms was 5.6 days. After one month, 85% (17 eyes) had complete resolution of symptoms. Recurrence was seen in 15% (three eyes) after initial improvement.Conclusion: Medical management with simultaneous probing has fairly good success rate in infantile dacryocystitis. Presence of dacryopyocele or dacryocystocele can lead to failure of probing owing to presence of intranasal cyst.
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