Dacryoadenitis

Treatment of Dacryoadenitis in Russia

Dacryoadenitis, or inflammation of the lacrimal gland, is a common ophthalmic condition that is characterized by pain, swelling, and redness in the upper eyelid area. Modern medical approaches used in Russian clinics allow for the effective management of this issue, providing rapid relief from symptoms and preventing potential complications.

Causes of Dacryoadenitis

The disease develops due to various infectious and systemic factors. In most cases, acute dacryoadenitis is caused by viral or bacterial infections such as the flu, measles, mumps, tonsillitis, or staphylococcal infection. Chronic dacryoadenitis is typically associated with autoimmune or systemic diseases, metabolic disorders, or prolonged inflammatory processes.

• Dacryoadenitis in Syphilis: In the late stages of syphilis, the lacrimal gland may be affected, causing chronic inflammation and gradually leading to dysfunction of the gland. In such cases, dacryoadenitis progresses slowly but results in a gradual reduction in tear production.
  
  
• Mikulicz's Disease: Mikulicz's disease is a rare chronic inflammatory condition that affects both the lacrimal and salivary glands. It is characterized by their enlargement and lymphocytic infiltration, which can lead to persistent dacryoadenitis.
  
  
• Pseudotumor-like Pathology: In some cases, inflammation of the lacrimal gland may resemble a pseudotumor, complicating diagnosis. This pathology manifests as painless enlargement of the gland, simulating a tumor process. It requires differential diagnosis from oncological diseases.
  
  
• Sarcoidosis: Sarcoidosis is a systemic granulomatous disease that can affect various organs, including the lacrimal glands. This leads to the formation of specific granulomas in the gland tissue, resulting in chronic inflammation and impaired tear production.
  
  
• Chronic Tuberculosis: Tuberculosis can affect the lacrimal gland, causing prolonged chronic inflammation. This is accompanied by gland enlargement, tenderness, and possible formation of tuberculous lesions.
  
  

Symptoms of Dacryoadenitis

•  Pain in the upper outer part of the eye socket
  
  
•  Swelling and redness in the upper eyelid
  
  
• Fever
  
  
• Headache
  
  
•  General malaise
  
  
•  Possible purulent discharge from the eye
  
  
• Increased body temperature
  
  
•  Increased tear production (lacrimation)
  
  

Signs of Dacryoadenitis Development

 The development of the pathology begins with redness and swelling in the upper eyelid area, predominantly on the outer side. The patient may experience tenderness when touching the lacrimal gland. In cases of acute infection, general symptoms such as fever, headache, and malaise may occur. In more severe cases, purulent inflammation may develop, leading to the formation of an abscess.

Classification and Stages of Dacryoadenitis Development

Dacryoadenitis is classified into two main forms: acute and chronic. Each form has its own characteristics, and the stages of development influence the choice of treatment methods.

• Acute: Characterized by sudden onset and rapid development of symptoms.
  
  
• Chronic: Develops gradually, with less pronounced symptoms that may persist for an extended period.
  
  

Acute Dacryoadenitis usually progresses through several stages:

• Catarrhal Stage: The initial stage, characterized by swelling and hyperemia (redness) of the lacrimal gland. In this stage, pain, swelling, and tearing are predominant.
  
  
• Purulent Stage: If a bacterial infection occurs, purulent inflammation may develop, leading to the formation of a purulent focus (abscess) in the lacrimal gland. This is accompanied by increased pain, swelling, redness, and the appearance of purulent discharge.
  
  

Chronic Dacryoadenitis, as a rule, does not have distinct stages, but may be characterized by periodic exacerbations.

Diagnosis

Diagnosis begins with a physical examination and history collection, where the doctor clarifies the patient's complaints and identifies signs of inflammation. If necessary, ultrasound imaging may be performed to assess changes in the gland and surrounding tissues. In some cases, bacteriological cultures of tears are taken to identify the infectious agent. MRI or CT scans may also be used to exclude other diseases.

Treatment of Dacryoadenitis

Treatment of dacryoadenitis involves a comprehensive approach aimed at eliminating inflammation and restoring normal lacrimal gland function. Depending on the cause of the disease, anti-inflammatory, antibacterial, or antiviral medications may be prescribed. It is also important to monitor the patient's condition to prevent possible complications.

Treatment of Acute Dacryoadenitis

In the acute form, if the disease is caused by an infection, antibacterial therapy is prescribed. Antibiotics in the form of ointments, drops, or orally may be used. Anti-inflammatory drugs, including nonsteroidal anti-inflammatory drugs or corticosteroids, are also used to reduce swelling and pain. In cases of purulent processes, drainage or surgical intervention may be required.

Prevention

To prevent the development of dacryoadenitis, it is important to treat infectious diseases in a timely manner, strengthen the immune system, maintain eye hygiene, and avoid hypothermia. Regular ophthalmological check-ups help identify potential problems at early stages.

Complications of Dacryoadenitis

If dacryoadenitis is not treated in a timely and appropriate manner, it can lead to the following complications:

• Spread of infection to surrounding tissues
  
  
•  Formation of a lacrimal gland abscess
  
  
• Formation of fistulas
  
  
•  Chronic inflammation of the lacrimal gland with impaired function
  
  
• Development of orbital phlegmon
  
  

The treatment of dacryoadenitis in Russia is carried out using modern diagnostic and therapeutic methods. Qualified specialists and high-tech equipment allow for the successful detection and treatment of this condition. The MARUS platform significantly simplifies the process of medical care by providing patients with the opportunity to quickly find the right specialist, schedule a consultation, and receive the necessary assistance.