Dacryocystitis in newborns - treatment and diagnostics

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When there are diseases associated with the eyes - it is always unpleasant, and sometimes dangerous. But the situation is further aggravated when it comes to newborns. In their case, the consequences can be very negative, and the procedure for treating the disease is difficult.One example of this phenomenon is dacryocystitis.In this article, we will consider methods of treating this disease and what are the main symptoms.

Content

  • 1What it is
  • 2Causes
  • 3Symptoms
  • 4Diagnostics
  • 5Treatment
    • 5.1Complications
    • 5.2Prevention
  • 6Video
  • 7conclusions

What it is

Dacryocystitis is a special inflammatory process, usually found in newborns.It is localized in the area of ​​the lacrimal sac of the eye.The disease is difficult to treat and often occurs in chronic form.

There is partial constriction or complete blockage of the nasolacrimal canal, which leads to inflammatory processes in the paranasal sinuses surrounding the tear sack.There is a delay in the outflow of tear fluid, pathogenic microbes begin to develop.

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Causes

The causes of the development of the disease may vary, but the two main causes that cause the problem in young children are:

  • infectious diseases of the visual apparatus;
  • injury.

If the disease is diagnosed in a newborn, it is usually due to the fact that he already had it in a congenital form. The fact is that during the intrauterine development of the baby the lumen of its nasolacrimal canal is always filled with a special mucous mass, and the passage is covered with a special membrane. In the vast majority of toddlers this membrane bursts with the first breath, but in very rare cases it can remain, which leads to the development of the disease.

Topography of lacrimal organs: 1 - lacrimal gland; 2 - a lacrimal flesh; 3, 4 - tear ducts; 5 - lacrimal sac; 6 - nasolacrimal duct; 7 - lower nasal concha.

Symptoms

The first symptoms of this disease appear around the first week of the baby's life, but less often the disease can go unnoticed during the first couple of months.Characterize the problem, as a rule, abundant lacrimation and the appearance of purulent and / or mucous discharge from the affected eye.

Many parents mistakenly take the problem for conjunctivitis, it is not surprising, since the problems are really quite similar. Therefore, it is necessary to look at additional symptoms to understand what kind of disease the baby is having.

Other symptoms include swelling of the eyelids and redness of the conjunctiva.Also with the diagnostic purpose it is possible to press on area of ​​a lacrimal sac, then there will be characteristic allocation which testify that the purulent-slimy masses have started to accumulate.

Most often the disease affects only one eye, but sometimes it happens that two eyes are immediately affected.

Diagnostics

Diagnosis should be carried out immediately after the discovery of the disease. That the doctor has appointed or nominated suitable treatment, he necessarily should carefully survey a patient.To start a newborn should be sent to the ophthalmologist for a general examination.Further, they can visit other specialists, for example, a pediatrician, an otolaryngologist, an allergist, and others. This allows you to exclude other causes of the problem.

Manifestation of dacryocystitis

An important element of the survey is taking a smear from the conjunctiva, which will then be sent to the laboratory for laboratory sowing.This will help to understand exactly what kind of infection the baby has, and, therefore, to understand which medications will be most effective in interacting with it.

Optionally, a so-called color lacrimal-nasal test can also be performed. Its essence is as follows: the doctor squeezes out the contents of tear sacks, then clears the nasal passages. A cotton swab is inserted into the nose, and a special brown solution is injected into the conjunctival cavity. After that, it is noted how soon the cotton swab in the nose will be painted. Thanks to this, one can clearly understand how passive is the tear duct.

Treatment

Many people believe that the problem can be easily cured by folk remedies, for example, chamomile broths or strong tea.These methods are really quite effective in a number of other eye problems, but in this case they just will not bring the slightest benefit.

After applying to the ophthalmologist, the baby will be prescribed medication. Apply a variety of common and safe eye drops, which include:

  • Vitobakt;
  • Albucid;
  • Collargol.
Massage for dacryocystitis

In parallel, the eye bag massage is performed. First, how to conduct it, shows the optometrist, then, with the preservation of certain precautions, you can massage yourself.

This massage is carried out as smoothly as possible, slow and cautious movements, which, nevertheless, must be jerky. This will help ensure that the channel lumen will gradually open.

Thus, treatment is carried out about a week or slightly more.If there is no positive result, then it is necessary to resort to so-called sounding. This is a procedure in which the patency of the nasolacrimal canal is restored with the help of a special physical effect.It is necessary to carry out this procedure only in the conditions of the clinic. But the result is almost 100% guaranteed.

Complications

Although many believe that the disease can simply be left to self, and it will pass by itself, it is not so. There may be contraindications, and these indications can be quite negative.For example, what first appeared as a normal inflammatory process, later becomes a chronic disease.

If the problem is constantly in a recurring stage, then the lacrimal canal can undergo atony and / or splicing, which will cause the child serious discomfort.

Less often develops phlegmon or abscess of lacrimal sac.Rarely there are such situations as sepsis and meningitis, this is so far only isolated cases, but still no one excludes their theoretical probability.

Prevention

To prevent the disease, many newborns in the hospital are instilled with antibacterial drops. In the rest you just have to try not to let the child have an injury.

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Treatment of iridocyclide should be performed exclusively under the supervision of a physician.

How is the test for color blindness, read in this article.

The main causes of defocusing vision: http://eyesdocs.ru/zabolevaniya/astigmatizm/rasfokusirovka-zreniya-trevozhnyj-simptom.html

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Video

conclusions

The disease is treated not so simply, but it is really possible to deal with it if you consult a doctor quickly enough. Then you can increase the chance that the treatment will pass without the slightest complications and that the disease will not become chronic. Otherwise, the child may develop glaucoma, whose treatment can be complicated by cataracts, the symptoms and treatment of which will be more painful for the baby.