눈물주머니염에 의한 안와농양 1예

• 영문명: A Case of Orbital Abscess Secondary to Dacryocystitis
• 발행기관: 대한안과학회
• 저자명: 최윤주 최웅철 양석우 최연경,Youn Joo Choi, M.D., Woong Chul Choi, M.D., Suk Woo Yang, M.D., Yeun Kyoung Choi, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number1, 156~163쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.01.31

영문 초록

Purpose: We report a case of orbital abscess secondary to acute dacryocystitis in which the patient had been cared for chronic dacryocystitis. Methods: A 59-year-old woman presented to our clinic with a history of chronic sinusitis from childhood and right chronic dacryocystitis treated for 6 years. She had sufferred from influenza 2 weeks previously and complained of painful lid swelling, limitation of ocular movement, exophthalmos, chemosis, and decreased vision of the right eye for 2 weeks. An orbital CT scan was taken and bacterial culture and sensitivity tests were done from the discharge. Results: CT scan showed inflammation and abscess formation around the right nasolacrimal duct orifice which was swollen and widened. Some of the inflammation tissues extended into the retrobulbar portion. Streptococcus pyogenous was cultured. Lid swelling, pain, exophthalmos, and visual acuity improved after external dacryocystorhinostomy, and surgical drainage. Conclusions: We should be careful in a case of acute dacryocystitis underlying chronic dacryocystitis as it easily causes complications, and in such a case early surgical management as well as antibiotics therapy is more effective.

키워드

Dacryocystitis, Dacryocystorhinostomy, Orbital abscess