PANCE Blueprint EENT (7%)

Lacrimal disorders (PEARLS)

NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint eye disorders ⇒ lacrimal disorders

Patient will present as → a 12-year-old with severe unilateral right eye pain and pressure. On physical exam, there is swelling, redness, tearing, and drainage from the outermost part of the affected right eye.


  • Inflammation of the nasolacrimal duct or the nasolacrimal gland (supratemporal)

DX: The diagnosis is based on clinical observation ⇒ CT orbits if chronic


  • If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed
  • For other causes, the treatment is specific to the causative disease



  • In acute cases of dacryocystitis, a Crigler, or tear duct massage can be performed to express material for culture and gram stain
  • In patients who appear to be acutely toxic or those who present with visual changes, imaging and bloodwork should be considered


  • Acute dacryocystitis (< 3 months) is treated with systemic antibiotics
  • Chronic dacryocystitis (> 3 months) typically presents with fewer inflammatory signs and requires surgical therapy for the underlying cause
Pterygium (ReelDx + Lecture) (Prev Lesson)
(Next Lesson) Dacryoadenitis
Back to PANCE Blueprint EENT (7%)


The Daily PANCE and PANRE

Get 60 days of PANCE and PANRE Multiple Choice Board Review Questions delivered daily to your inbox. It's 100% FREE and 100% Awesome!

You have Successfully Subscribed!