Radiological Evaluation of Dacryocystitis in Children Using CT-Scan
DOI:
https://doi.org/10.55606/ijhs.v6i1.6297Keywords:
CT-Scan, Dacryocystitis, Nasolacrimal Obstruction, Pediatric Ophthalmology, RadiologyAbstract
Dacryocystitis is an inflammation of the lacrimal sac resulting from nasolacrimal duct obstruction, which interferes with tear drainage and leads to secondary infection. It commonly occurs in children and individuals over 40 years old, characterized by pain, redness, and swelling in the medial canthus area. This study aims to evaluate radiological findings of dacryocystitis in a child using Computed Tomography (CT) Scan as the main diagnostic modality. The descriptive case study involved a six-year-old girl with right eye pain and swelling for seven days before hospitalization. Physical examination revealed swelling, hyperemia, and tenderness in the right lower eyelid. Orbital CT-scan showed a hypodense lesion in the right inferior orbital region extending to the inferior canaliculus and proximal lacrimal sac, with periorbital swelling confirming dacryocystitis. Follow-up imaging demonstrated lesion enlargement, indicating progressive inflammation. The patient received antibiotic and supportive therapy, leading to clinical improvement after treatment. CT-scan examination proved essential in confirming diagnosis, assessing inflammation severity, and guiding appropriate treatment planning.
Downloads
References
Algifari, M. Z., Sangging, P. R. A., & Himayani, R. (2023). Dakriosistitis. Medula, 13(4.1), 202–206.
Ali, M. J., & Javed, A. (2020). Dacryocystitis: Clinical features, microbiology, and management approaches. Indian Journal of Ophthalmology, 68(12), 2651–2659. https://doi.org/10.4103/ijo.IJO_2020_1340
Asheim, J., & Spickler, E. (2005). CT demonstration of dacryolithiasis complicated by dacryocystitis. American Journal of Neuroradiology, 26(10), 2640–2641.
Bhanwala, S. (2024). Dacryocystitis and its management. In Rhinology Conditions – Contemporary Topics. IntechOpen. https://doi.org/10.5772/intechopen.1005585
Dahlan, M. R., Boesoirie, K., Kartiwa, A., Boesoirie, S. F., & Puspitasari, H. (2017). Karakteristik penderita dakriosistitis di Pusat Mata Nasional Rumah Sakit Mata Cicendo. Majalah Kedokteran Bandung, 49(4), 281–286.
Eshraghi, B., Abdi, P., Akbari, M., & Fard, M. A. (2014). Microbiologic spectrum of acute and chronic dacryocystitis. International Journal of Ophthalmology, 7(5), 864–867.
Fatima, K., Chowdary, S., Eram, S., Fatima, S. W., & Khan, S. A. (2023). Clinico-microbiological profile in dacryocystitis at a tertiary care teaching hospital. Research Journal of Medical Sciences, 17(7), 991–995.
Fayers, T., Dolman, P. J., & Rootman, J. (2018). Imaging of the lacrimal drainage system in acquired nasolacrimal duct obstruction. Survey of Ophthalmology, 63(5), 695–708. https://doi.org/10.1016/j.survophthal.2018.01.002
Khatoon, J., Rizvi, S. A. R., Gupta, Y., & Alam, M. S. (2021). A prospective study on epidemiology of dacryocystitis at a tertiary eye care center in Northern India. Oman Journal of Ophthalmology, 14(3), 169–172. https://doi.org/10.4103/ojo.ojo_80_21
Kumar, P., Singh, R., & Mehta, S. (2023). Clinical spectrum and management of dacryocystitis: A radiological and surgical perspective. Journal of Ophthalmic Inflammation and Infection, 13(2), 115–123. https://doi.org/10.1007/s12348-023-00345-7
Luo, B., Li, M., Xiang, N., Hu, W., Liu, R., & Yan, X. (2021). The microbiologic spectrum of dacryocystitis. BMC Ophthalmology, 21(1), 29. https://doi.org/10.1186/s12886-020-01792-4
Mishra, P., Singh, S., & Gupta, R. (2021). Bacteriological profile and antibiotic sensitivity pattern in chronic dacryocystitis patients. International Journal of Ocular and Oculoplastic Surgery, 7(3), 112–117. https://doi.org/10.18231/j.ijooo.2021.027
Nurladira, S. T. (2021). Manajemen dakriosistitis. Jurnal Medika Hutama, 3(1), 1468–1474.
Ooi, E. H., Wormald, P. J., & Tan, L. W. (2020). Lacrimal sac and nasolacrimal duct diseases: Clinical and radiologic perspectives. Ophthalmic Plastic and Reconstructive Surgery, 36(4), 345–352. https://doi.org/10.1097/IOP.0000000000001551
Pradhan, R., Ghimire, N., Shrestha, B. L., & Karki, D. B. (2022). Computed tomography evaluation of nasolacrimal duct anatomy and its variations in primary acquired nasolacrimal duct obstruction (PANDO). Clinical Ophthalmology, 16, 1529–1537. https://doi.org/10.2147/OPTH.S351960
Rajabi, M. T., Shahraki, K., Nozare, A., Moravej, Z., Tavakolizadeh, S., Salim, R. E., Hosseinzadeh, F., Mohammadi, S., Farahi, A., & Shahraki, K. (2022). External versus endoscopic dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction. Middle East African Journal of Ophthalmology, 29(1), 1–6. https://doi.org/10.4103/meajo.meajo_238_21
Raslan, O. A., Ozturk, A., Pham, N., Chang, J., Strong, E. B., & Bobinski, M. (2019). A comprehensive review of cross-sectional imaging of the nasolacrimal drainage apparatus: What radiologists need to know. American Journal of Roentgenology, 213(6), 1331–1340. https://doi.org/10.2214/AJR.19.21507
Singh, S., & Ali, M. J. (2022). Normal anatomy of the lacrimal system. In Atlas of Orbital Imaging (pp. 279–282). Springer. https://doi.org/10.1007/978-3-030-62426-2_21
Somuk, B. T., Alim, S., Sapmaz, E., Demir, H. D., Taskiran, B., Goktas, G., & Soyalic, H. (2016). Comparison of endoscopic and external dacryocystorhinostomy results and analysis of patients’ satisfaction. Turkish Archives of Otolaryngology, 54(3), 99–104. https://doi.org/10.5152/tao.2016.1722
Sundari, S. S., & Kontraiandi, C. (2020). A clinico-bacteriological study of dacryocystitis in children. International Journal of Contemporary Pediatrics, 7(3), 602–606. https://doi.org/10.18203/2349-3291.ijcp20200686
Venkatesh, & Shanker, B. M. (2024). Dacryocystitis – A study of its microbiological spectrum at a tertiary eye care hospital in Hyderabad, India. Osmania Journal of Medical Research, 1(1), 1–5.
Zhang, C., Cui, Y., Wu, Q., & Li, L. (2019). Computed tomography for guidance in the diagnosis and surgical correction of recurrent pediatric acute dacryocystitis. Pediatric Investigation, 3(1), 39–44. https://doi.org/10.1002/ped4.12115
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 International Journal Of Health Science
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
