Acute dacryocystitis is an inflammation of the lacrimal sac. The condition often occurs in neonatal period due to the underlying nasolacrimal duct obstruction. Manifesting itself with swelling in the inner canthal region fullness, redness, and sensitivity, acute dacryocystitis is a serious illness in the newborn period. If infection is not treated effectively with parenteral antibiotics, this problem may progress to preseptal cellulitis, orbital abscess, brain abscess or sepsis. These patients should be hospitalised and parenteral antibiotics should be initiated immadiately. These patients should also be closely monitored for possible complications. Necessary intervention for the underlying nasolacrimal duct obstruction is recommended to be carried out after infection has resolved. In this paper, we present a case of acute dacryocystitis which progressed to lacrimal abscess and preseptal cellulitis due to delay in systemic therapy.
Key words: Acute Dacryocystitis; Preceptal Cellulitis; Newborn.
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