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Dacryocystitis Medication

  • Author: Grant D Gilliland, MD; Chief Editor: Edsel Ing, MD, FRCSC  more...
 
Updated: Feb 01, 2016
 

Medication Summary

Oral and topical antibiotics are the mainstay of medical therapy.[13]

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Antibiotics

Class Summary

Used to treat systemic infections, including periorbital cellulitis, orbital cellulitis, and sinusitis.

Amoxicillin and clavulanate (Augmentin)

 

Provides useful coverage for most organisms associated with dacryocystitis.

Ampicillin and sulbactam (Unasyn)

 

Provides useful coverage for most organisms associated with dacryocystitis.

Levofloxacin (Levaquin)

 

Provides useful coverage for most organisms associated with dacryocystitis.

Trimethoprim sulfate and polymyxin B sulfate (Polytrim)

 

For ocular infections, involving cornea or conjunctiva, resulting from strains of microorganisms susceptible to this antibiotic. Available as a solution and ointment.

Gentamicin (Genoptic, Ocumycin)

 

Aminoglycoside antibiotic used for gram-negative bacterial coverage.

Tobramycin ophthalmic (AKTob, Tobrex)

 

Interferes with bacterial protein synthesis by binding to 30S and 50S ribosomal subunits, which results in a defective bacterial cell membrane.

Dexamethasone/tobramycin (TobraDex)

 

Tobramycin interferes with bacterial protein synthesis by binding to 30S and 50S ribosomal subunits, which results in a defective bacterial cell membrane. Dexamethasone decreases inflammation by suppressing migration of polymorphonuclear leukocytes and reducing capillary permeability.

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Contributor Information and Disclosures
Author

Grant D Gilliland, MD Private Practice, Texas Ophthalmic Plastic, Reconstructive and Orbital Surgery Associates

Grant D Gilliland, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Ophthalmology, American College of Surgeons, American Medical Association, Texas Medical Association, American Society of Ophthalmic Plastic and Reconstructive Surgery

Disclosure: Nothing to disclose.

Specialty Editor Board

Simon K Law, MD, PharmD Clinical Professor of Health Sciences, Department of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, Association for Research in Vision and Ophthalmology, American Glaucoma Society

Disclosure: Nothing to disclose.

Chief Editor

Edsel Ing, MD, FRCSC Associate Professor, Department of Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine; Consulting Staff, Hospital for Sick Children and Sunnybrook Hospital

Edsel Ing, MD, FRCSC is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American Society of Ophthalmic Plastic and Reconstructive Surgery, Royal College of Physicians and Surgeons of Canada, Canadian Ophthalmological Society, North American Neuro-Ophthalmology Society, Canadian Society of Oculoplastic Surgery, European Society of Ophthalmic Plastic and Reconstructive Surgery, Canadian Medical Association, Ontario Medical Association, Statistical Society of Canada, Chinese Canadian Medical Society

Disclosure: Nothing to disclose.

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Acute dacryocystitis.
A 2-week-old infant with life-threatening amniotocele causing airway compromise.
Postoperative image of same patient as in Media file 2, 1 year after drainage of amniotocele.
 
 
 
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