Abstract
Acute dacryocystitis usually presents as a pre-septal cellulitis since the lacrimal sac lies anterior to the orbital septum. Orbital cellulitis secondary to acute dacryocystitis is very rare due to a variety of anatomic barriers to the orbit but can occur and result in abscess formation with risk of visual compromise.We describe a case of 28 yrs. old otherwise healthy adult who presented with almost complete visual loss following orbital cellulitis and lower lid abscess formation secondary to acute dacryocystitis in right eye. The clinical, radiological, intraoperative and postoperative findings are discussed. He underwent emergency lateral canthotomy and cantholysis, lower lid abscess drainage along with planned endoscopic endonasal dacryocystectomy as resolutive surgery.
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