Dacryocystitis is an infection of the lacrimal sac, almost always favoured by an obstruction of the nasolacrimal duct: tears stagnate and become infected. It presents as a red, hot, painful lump at the inner corner of the eye.
The signs
Painful swelling between the eye and the nose, watering, sometimes purulent discharge and fever. Chronic, quieter forms also exist, with reflux of secretions when the sac is pressed.
Treating the acute episode
A prompt consultation is required: systemic antibiotics, painkillers and monitoring. An established abscess may require drainage.
Preventing recurrence
Once the episode has settled, the cause must be treated: the tear duct obstruction. Dacryocystorhinostomy (DCR), performed away from the infection, effectively prevents recurrence.
Frequently asked questions
Is it an emergency?
It is a semi-emergency: seek care promptly — the same day in case of fever, intense pain or spreading redness towards the eyelid or cheek.
Book an appointment
Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).