Chief & Presenting Author: Dr.Aditi Mishra

Co Author(s): Prof. Dr.Eva Rani Tirkey, Dr.Sujata Lakhtakia

Abstract

Study design : a case report
Acute dacryocystitis typically cause preseptal cellulitis but is rarely associated with orbital cellulitis due to anatomical barriers
Purpose : We present a case of acute dacryoscystitis complicated by orbital cellulitis
Methods: 70 yr old presented with , dimunition of vision ,ptosis proptosis in addition to external ophthalmoplegia and RAPD. He had one year of history of lacrimation. MRI orbit revealed an extraconal infiltration near the medial orbital wall consistent with orbital cellulitis. He was immediately started on broad spectrum intravenous antibiotics and steroid.
Results : five days of treatment inflammatory signs vision and movement improved dramatically
Conclusion : Acute dacryocystitis should be considered as an emergency in ophthalmology. Prompt diagnosis and close monitoring are therefore essential to prevent extension into the orbit and possible optic compromise.