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Chronic dacryocystitis

Updated: Thursday, Jan 07,2010, 2:43:41 PM
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Chronic dacryocystitis is the place the bottom of nasolacrimal duct obstruction, tear and bacteria retention in the lacrimal sac, the lacrimal sac wall caused by constant stimulation of a chronic inflammatory. And trachoma, chronic rhinitis or sinusitis, turbinate hypertrophy, nasal polyps, nasal septum bending caused by nasolacrimal duct obstruction is a common cause. The disease common, mostly middle-aged women. Mucus or pus due to frequent regurgitation human Tenon's capsule is easy to cause conjunctivitis. More serious is, when the damaged cornea, such as corneal foreign bodies, corneal abrasion, when bacterial contamination is very easy to cause corneal ulcers. Moreover, when the line of eye surgery within the pathogen followed them into the eye, causing suppurative endophthalmitis, in serious cases can cause blindness. Thus, for chronic dacryocystitis must be positive and thorough treatment. The disease crumbs Chinese medicine practitioners "missing eyes" scope.
    [Clinical manifestations] epiphora symptoms of their chief complaints, patient tears bark, wet lower eyelid, inner canthus skin flushing, or erosion. Sometimes see the skin beneath the eyes, including uplift, finger pressure there, there is mucus or pus white tear-point reflux. Since the point of tears, such as tears wash Road, rinse fluid from the lacrimal punctum reflux, and has mucus or pus.
    1. Western Treatment
    (1) Washing the lacrimal duct, and drops of eye drops with antibiotics is a common method, but only temporarily alleviate symptoms, a thorough treatment must rely on surgery. Dacryocystorhinostomy is the preferred type of surgery. The aim is to lacrimal sac and the mucous membranes of the middle meatus, through the opening to an artificial bone-hole match, so that the tear holes through the match the smooth inflow in the nasal Road (under normal circumstances should be inflow inferior nasal Road), blocking the lifting, the inflammation, tearing a natural lift.
    (2) For the elderly and the infirm can not stand dacryocystorhinostomy, they will be lacrimal sac removed, remove lesions, but epiphora persisted.
    2. TCM
    (1) wind-heat stay the course of time: hidden Shibuya ocular discomfort, and sometimes tear out, or Xianshui-like mucus. Governing law: Shufeng heat.
    (2) Heart and humid upside: Hidden Shibuya is not obvious, inner canthal angle red red wet, pus soaking, wipe the then-sheng, urine yellow red, yellow greasy tongue coating. Governing law: heat Lishi.
    [Clinical] treated 78 cases, 75 cases cured, improved in 2 cases, ineffective in 1 case. The total effective rate 98.7%.

Tags: Chronic dacryocystit

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