Management of Acute Nasolacrimal SacAbscess in an Infant: Case Report

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Two months old female infant was brought to our outpatient clinic with a red acutely inflamed swelling near the inner canthus of the right eye. On physical examination a tense, fluctuating swelling was found in the region of lacrimal sac of the right eye and diagnosed as acute dacryocystitis with nasolacrimal sac abscess. Her lacrimal sac abscess was drained by a small incision in the operating theatre. She was hospitalized for intravenous antibiotic treatment. Acute inflammation resolved and nasolacrimal duct was probed under sedoanalgesia 15 days after the first abscess drainage. There was no epiphora and other complaints during the follow up for 6 months. Pediatric acute dacryocystitis is a distinct entity with unique features of its own. Careful evaluation, immediate treatment and close monitoring are important in proper patient management.