Dacryocystitis

Dacryocystitis is the inflammation of the nasolacrimal sac related to impairment in the lacrimal drainage system and superimposed infection. 

Dacryocystitis has a bimodal distribution: neonates due to congenital abnormalities and when acquired, usually affect individuals older than 40 years of age. 

Dacryocystitis is typically characterized by epiphora, erythema and edema in the region of the medial epicanthus and lacrimal puncta as the result of an infection of the nasolacrimal sac. There is often mucopurulent discharge from the puncta and associated conjunctivitis.

Obstruction or stricture of the nasolacrimal drainage is an underlying factor. 

Most cases in infants represent congenital abnormalities, such as incomplete canalization or atresia of the nasolacrimal duct, dacryocystocele and facial clefts. Whereas in adults it is usually the result of an acquired abnormality, including:

The microbiology of dacryocystitis mimics normal conjunctival flora in most instances.

In chronic dacryocystitis, there may be superinfection with fungal species.

They typically appear as well-circumscribed round lesions centered on the lacrimal fossa with peripheral enhancement.

Treatment is usually with antibiotics in the acute phase. In some cases, intervention (including external dacryocystorhinostomy) may be necessary.

Chronic dacryocystitis typically requires surgery or an interventional procedure.

Differentials on imaging include:

Share article

Article information

rID: 12896
System: Head & Neck
Synonyms or Alternate Spellings:
  • Lacrimal sac inflammation
  • Inflammation of the lacrimal sac

Support Radiopaedia and see fewer ads

Cases and figures

  • Case 1: on left
    Drag here to reorder.
  •  Case 2
    Drag here to reorder.
  • Case 3
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.