Very early endoscopic DCR in acute suppurative dacryocystitis perspective

Acute dacryocystitis is not uncommon in oculofacial and general ophthalmology clinics admissions. It happens with sudden inflammation of lacrimal sac that frequently occurs in the setting of pre-existing nasolacrimal duct obstruction. Long standing tear flow stasis results in change of bacterial flora and bacterial over-growth in the lacrimal sac as a reservoir of stagnant tear., However, acute dacryocystitis can be associated with dacryoliths or indefinite pre-existing anatomic nasolacrimal duct obstruction.