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Acute dacryocystitis is an infection of the nasolacrimal system characterized by erythema, swelling, warmth, tenderness of the lacrimal sac, and/or purulent discharge. It is a rare complication of isolated congenital nasolacrimal duct obstruction but occurs commonly with dacryocystoceles. Acute dacryocystitis can be complicated by preseptal or orbital cellulitis, sepsis, or meningitis and should be treated promptly with antibiotics. Admit and consult Ophthalmology for further treatment recommendations.


Ali MJ. Pediatric acute dacryocystitis. Ophthal Plast Reconstr Surg. 2015; 31: 341 — 347.

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.