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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 2, March 2014 pp 82-85

Research Article

Clinicobacteriological and histopathological study in chronic dacryocystitis

Jyoti Bhuyan¹, Subhajit Das², S. K. Bhuyan³

Academic Editor : Dr. Bhanap P. L.

Introduction: Study of patients attending tertiary care hospital in Guwahati, Assam. Aim: to study bacteriological profile, histopathological changes in the lacrimal sac and epidemiological characteristics in ch. dacryocystitis. Materials and Methods: 60 clinically established chronic dacryocystitis cases who did not use any antibiotics eye drops or stopped using drops were taken up for the study in a tertiary care hospital in GUWAHATI, Assam from July'07 to June'08. Regurgited materials from lacrimal sac were subjected to Gram stain and KOH smear and to culture for bacterial pathogens. Lacrimal sac samples during daryocystectomy surgery and posterior flaps of lacrimal sac during dacryocystorhinostomy surgery were collected, preserved and sent for histopathological examination. Results: Out of 60 cases bacteriological etiology was established in 52 cases (86.67%) while 8 cases (13.33%) were sterile. Among the isolated bacreria, the commonest organism was staphylococcus aureus (28.33%) followed by streptococcus pneumonae (23.33%).Histopathological study showed 100% cases were non suppurative. The commonest type was nonspecific chronic dacryocystitis 22 (36.67%) followed by hyperplastic type 18(30%), fibrotic type 11(1833%) etc. Most of the cases were in the 4th decade of life14 (23.33%), were females 46(76.66%), housewives 38(63.33%) and belonged to lower socio-economic class 47(78.33%). Conclusion: Bacteriological examination showed Bacterial growth in 86.67% and in 13.33% cases it was sterile culture. Gram positive isolates were 60% including Staphylococcus aureus as the most common organisms (28.33%) followed by streptococcus pneumonae (23.33%) and Gram negative isolates were 26.67% among which Pseudomonas aeruginosa were 10%, E.coli were 10%. Most common change was found as non-specific chronic dacryocystitis (36.67%).Most of the cases were female (76.66%), housewives (63.33%), belonged to lower socio-economic class (78.33%) and in the 4th decade of age(23.33%).