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IP International Journal of Ocular Oncology and Oculoplasty


Microbial study of chronic dacryocystitis in adults


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Author Details: K. Kalaivani

Volume : 3

Issue : 2

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 133

Article End Page : 136


Abstract

Aim: To study the incidence, clinical presentation, bacteriological profile with its sensitivity, treatment and complications associated with chronic dacryocystitis in adult patients in and around Karaikal.
Materials and Methods: Hundred patients of age more than twenty years of both sexes with chronic dacryocystitis with the positive regurgitation test attending our outpatient department were enrolled for the study. Patients with the history of previous sac surgery and those who failed to come for regular follow up were excluded from the study.
Results: Mean age of our patients was Forty years. Highest incidence of chronic dacryocystitis was between Forty to Fifty years and less common between Twenty to Thirty years. There were more female than male. Eight patients had bilateral involvement. Majority of our patients were fishermen and housewives. Sixty Four patients had complete block and Thirty six had partial block. Fifty Four had mucopurulent discharge, twenty four had purulent and remaining all had regurgitation of clear fluid. Four patients had associated ENT problems. Out of hundred and eight samples studied, Forty Six were positive for Staphyococcus aureus, Twenty positive for Streptococci pneumonia, Ten for Staphylococcus epidermidis, seven for Psuedomonas aeroginosa, five for Klebsiella and remaining ten showed no growth. Majority of the strains were sensitive to fluroquinolones. Fifty four patients underwent dacryocystorhinostomy and Forty Six had dacryocystectomy.
Conclusion: Bacteriological analysis of chronic dacryocystitis has been gaining importance to prevent the vision threatening complications.

Keywords:
Chronic dacryocystitis, Microbiological analysis, Sensitivity