=Dacryocystitis= is an inflammation of the lacrymal sac. It is due
to some lesion in the nose, malposition of the inferior turbinate or
a poor blood and nerve supply to the lacrymal region as determined
by cervical lesions. The sac becomes infected and we have a
=dacryocystoblennorrhea.= Pus and tears are regurgitated into the eye
through the puncta. There is irritation and the conjunctiva may become
infected at any time, also the cornea. It is a dangerous and annoying
affection.
=Treatment.=—Osteopathic measures have something to offer along this
line. The medical idea seems to be completely surgical in recent years.
The first and only thing to be done surgically is to obliterate the sac
or dissect it out and curette the nasal duct, completely destroying
the apparatus. Lancing does not affect a cure. By treating for a good
nerve and blood supply to that region, the irrigation of the nose and
a thorough squeezing of the sac each time with a view to forcing the
solution in the sac down through the nasal duct into the nose, a cure
may be effected in many cases. If these cases can be gotten before
infection has taken place, in the state of epiphora or the backing up
of the tears into the eye, thorough treatment along the lines just
indicated will in nearly all cases result in a cure.
Boric acid solution should be used to wash out the sac when pus is
present. The attempt should be made to force it into the nose. Probing
properly done is of value in many cases. These cases should be followed
up with great care.
Treat the neck thoroughly and spring the inferior maxilla.