H04.422

Clinical Causes: Bacterial infections, commonly caused by bacteria such as Actinomyces israelii Chronic inflammation due to recurrent infections or debris accumulation Blockage resulting from eyelid or conjunctival diseases Presence of foreign bodies or sutures near the tear drainage system In some cases, no identifiable cause is found

Key Symptoms: Persistent tearing or watering from the affected eye Redness and swelling along the inner corner of the eye Tenderness or pain in the medial canthal area (inside corner of the eye) Discharge that may be yellowish or pus-like, especially when infection worsens Recurrent infections or eyelid swelling Crusting around the eyelids and eyelashes

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination by an eye care professional. Methods may include: - Inspection of the inner eyelid and tear drainage system - Pilocapsule probing to assess the patency of the canaliculi - Cultures of any discharge to identify infectious agents - Imaging tests such as dacryocystography if anatomical abnormalities are suspected The goal is to determine the presence of inflammation, obstruction, or infection in the lacrimal passage on the left side.

Treatment Protocols: Treatment options for chronic lacrimal canaliculitis usually include: - Antibiotic therapy: Topical or systemic antibiotics to eliminate bacterial infection - Warm compresses: To reduce swelling and promote drainage - Manual expression: Gently expressing the canaliculus to drain accumulated pus or debris - Surgical intervention: In persistent cases, procedures such as canaliculotomy or canaliculoplasty might be necessary to remove obstructions or repair damaged passages - Addressing underlying causes: Managing eyelid or conjunctival conditions contributing to the problem Close follow-up with an eye specialist is essential to monitor recovery and prevent recurrence.