Children // Childhood diseases

Neonatal dacryocystitis

Neonatal dacryocystitis

Some newborns nasolacrimal duct is clogged gelatinous film, which is a common embryonic tissue that does not normally tear fluid to flow through the channel.

As a result, the tears can not properly allocated, and stagnate and do not perform their moisturizing and cleansing function.Caught on the surface of the eye is not washed away by tears microorganisms and cause inflammation of the eye.In this case, we are talking about dacryocystitis newborn.

dacryocystitis may have an innate character when the lumen of the nasolacrimal duct is narrowed or lacrimal sac has some pathology.Prevalence of dacryocystitis in infants is low: the disease is diagnosed in approximately 5% of newborns.Most often, only one child's eye is struck dacryocystitis.

Symptoms of neonatal dacryocystitis

dacryocystitis can be identified in a few days after the birth of the child.Parents are beginning to notice that in the eyes of a child in the selection accumulate more than the usual number.The more blocked nasolacrimal duct, t

he earlier dacryocystitis makes itself felt.

Another manifestation dacryocystitis - slezostoyanie and watery.Tears as if trapped in a child's glazik constantly flowing from it, even though the child is not crying.Crying tears begins in infants on the third or fourth week of their life, and to 2 months of age, all babies cry with tears.

Inexperienced parents can take dacryocystitis for conjunctivitis.However, the newborn conjunctivitis is extremely rare when the eyes of the baby can be inflamed as a result of infection or maternal infection during labor (such as vulvovaginitis), or infection after childbirth.

Common symptoms of conjunctivitis in infants - red eyes, swollen eyelids, discharge from the eyes.And with dacryocystitis eye is red, and the disease suggests, first of all, mucous pus instead of tears with pressure on the lacrimal sac.And dacryocystitis usually affect only one eye, while conjunctivitis - both eyes.

more detail of lacrimal obstruction in neonates read here

Diagnostics dacryocystitis a child

experienced ophthalmologist at first sight can detect the presence of the baby dacryocystitis.Sometimes, in order to confirm the diagnosis, the specialist checks the degree of nasolacrimal duct patency.In these cases, the doctor buries collargol (its 1-2% solution) in the conjunctival cavity, plugged with the nasal cavity swab of cotton wool.

The speed of the disappearance of the dye from the eye specialist can judge the degree of patency of lacrimal system.In a healthy child dye exits the eye within 5 minutes.Then checked the rate of appearance of the dye on the cotton swab in the nose.Time of occurrence of the dye in the swab should not normally exceed 10 minutes after instillation of the eye Collargol child.

If for any reason the diagnosis of dacryocystitis above method is difficult, radiography lacrimal system in which the pre-contrast agent is administered.

Home treatment dacryocystitis infants

When parents try to treat dacryocystitis on their own, they normally use a patient's eyes burrowing decoctions, antibacterial drops or customary tea.Once glazik child did not receive the next portion of the drops, the disease resumes because its true causes have not been eliminated.

This does not lead to self-healing, but only contributes to the further proliferation of pathogens in the eye crack baby.To avoid such mistakes, parents should not solve the problem on their own, and show the child to the ophthalmologist.

doctor will explain to parents how to correctly perform a massage of the lacrimal sac.This massage should be done 4-5 times a child during the day, ie,after each feeding.Fingertip massaged the inner edge of the eye slits of the patient's eyes, the direction of movement - from the top down, in the form of 5-6 light shocks in order to come out of the eye slit discharge (tears, pus, mucus).

After the massage, the patient will need to wash the eyes with the help of a purchased in a pharmacy furatsilina solution or infusion of chamomile or tea.5-10 drops of fluid is instilled into conjunctival cavity pipette.Dipped in the same solution with a cotton swab to wipe the discharge to be patient-century eyes.These solutions were used for washing only within one day.

treatment dacryocystitis using sensing

If a child over 2 first months of life dacryocystitis stubbornly persists despite massage and washing, then apply sensing, which is performed in a hospital, but does not require the placement of the child to hospital.

Before you begin sensing patient eye instilled anesthetic solution.Then, in the nasolacrimal duct probe is placed with the purpose of pushing a gelatinous film.After sensing the channel is washed with an antiseptic.

sensing procedure is painless, is very fast, and its efficiency is 95%.The sooner parents to see a specialist, the easier it is to carry out sensing baby.After the sounding of the child prescribed antibacterial instillation for 1-2 weeks to accelerate the healing process.