This protocol covers the structured management of acute dacryocystitis in adult patients aged 18 years and older — a clinical situation with specific diagnostic steps and a defined treatment pathway based on how the episode progresses.
In adult patients presenting with an acute episode of dacryocystitis, the initial approach centres on obtaining lacrimal drainage culture samples by puncture and aspiration of the lacrimal sac, followed by empirical systemic treatment. The patient's general health is a central consideration throughout management.
Depending on how the acute episode progresses, dacryocystorhinostomy may be required alongside structured antibiotic preparation.
DOI: 10.1007/s11908-012-0238-8
As for the management of adult patients with acute episodes of dacryocystitis, the initial approach should consist in the taking of lacrimal drainage culture samples by puncture and aspiration of the lacrimal sac, followed by empirical treatment with oral antibiotics and anti-inflammatories.
Depending on their progression, patients may require endonasal or external laser dacryocystorhinostomy, with the initiation of the oral antibiotics as much as 7 days prior to the procedure, but always taking into consideration the general health of the patient.
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