DEXTENZA is contraindicated in patients with active corneal, conjunctival or canalicular infections, including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella; mycobacterial infections; fungal diseases of the eye and dacryocystitis
Lacrimal duct obstruction is less known; it is described in the literature in 4 patients, 20-75 years of age, who had nasal lesions resulting from ML and sought treatment for chronic dacryocystitis
Chronic Sclerosing Dacryocystitis
was seen in 3 (1%) cases, Bacterial Keratitis in 3 (1%) cases, Graves Disease in 3 (1%) patients and Pyogenic granulomas in patients 3 (1%).
Primary nonendo scoping donasal versus delayed external dacryocystorhinostomy in acute dacryocystitis
. Ophthal Plast Reconstr Surg 2016 [Epub ahead of print].
In both cases, patients may present epiphora and dacryocystitis
. The greatest incidence of primary acquired nasolacrimal duct obstruction (PANDO) is in women (50-83 %) greater than 50 years of age (Woog).
A unique case of IgG4 sclerosing dacryocystitis
. Ophthal Plast Reconstr Surg 2012 May-Jun ;28(3):e70-e72.
Other possible nasosinusal symptoms include septal perforation (4%), chronic dacryocystitis
(4%), and tracheal stenosis (1%) [1-3].
Mittal, "Comparative bacteriology of acute and chronic dacryocystitis
," Eye, vol.
Ophthalmic conditions reportedly misdiagnosed as lacrimal canaliculitis include mucocele, dacryocystitis
, chalazia, blepharitis, and conjunctivitis.
Patients with corneal opacity; severe dry eye; glaucoma; any inflammatory ocular disorder or infection including blepharitis, conjunctivitis, meibomitis and dacryocystitis
; central or peripheral thinning evident in slit-lamp examination; history of ocular surgery, trauma, or contact lens use; and patients using any topical medication other than artificial tears were excluded from the study.
The common eye complications observed in leprosy include lagophthalmos, impaired corneal sensation, exposure keratopathy, corneal ulceration, corneal opacity, cataract, iridocyclitis, ectropion, entropion, trichiasis, secondary glaucoma, iris atrophy and chronic dacryocystitis
. (1-5) Cataract surgery in leprosy patients is done to regain visual acuity lost from the development of age-related or complicated cataracts.
Patients of headache in association with stye, infected chalazion acute dacryocystitis
, papilloedema and optic neuritis usually present with a white eye.