AIOC 2010 PROCEEDINGS
Dr. JYOTI BHUYAN: M.B.B.S. (1983), Gawahati Medical College, Assam; M.S (1988), RIO,
Gawahati Medical College, Assam. Presently Associatate Professor.
A Clinicobacteriological Study on Chronic Dacryocystitis
Dr. Jyoti Bhuyan, Dr. Subhajit Das
(Presenting Author: Dr. Jyoti Bhuyan)
and conspicuous symptoms it may cause, partly
because it has little tendency to resolve. This
study was carried out in RIO Guwahati with the
objectives of: 1) Identifying the causative bacteria,
2) Studying the antibiotic sensitivity of these
bacterias to commonly used antibiotics and 3)
occupation and socioeconomic status.
Materials and Methods
Sixty cases of clinically established chronic
Dacryocystitis, who attended and were treated in
RIO, GMCH during the period from July 2008 to
June 2009 were selected for this study. Cases that
did not use any antibiotic drop previously or
stopped using antibiotic eye drop at least one
week before attending the hospital were taken for
this study irrespective of age, sex, occupation and
social status. Sterile swab sticks were used for
collection of regurgitated material. For bacterial
1. Stain – Gram’s Stain, KOH (10%).
2. Culture medium – Blood Agar, Mc Conky`s
Agar, Nutrient Agar, Chocolate Agar were used.
Three swabs were collected at a time. First for the
KOH smear, second for the Gram staining and
hronic Dacryocystitis is an unpleasant
disease, partly because of the troublesome
last swab for culture in medias. Swabs were sent
to Microbiology department for study.
Different results were observed in this study.
Table-1: Shows age Distribution
Age Groups (yrs)
Table 1 shows that the max. number of patients
are in the 4th decade (23.33%) followed by 5th
decade( 21.66). The present study shows that out
of 60 patients 46(76.66%) are females and 14
(23.33%) are males in the ratio of 3.28:1.
Our study shows that out of 60 patients 38
(63.33%) are housewives, 10 (16.66%) are farmers,
4(6.67%) are service holders, 4(6.67%) are
students, 3(5%) are shopkeepers and 1(1.67%) are
No. of Cases
Our study shows that out of 60 patients
29(21.66%) belong to upper class and 31 (78.33%)
belong to lower class.
Regarding presenting symptoms our study
shows that watering is present in all cases (100%),
while mucopurulent discharge is present in
25(41.66%) cases and swelling over lacrimal sac
region is seen in 10(16.66%) cases.
It has been observed that out of 60 patients of
chronic dacryocystitis clear fluid regurgitation is
found in 29(48.33%) patients, followed by
mucopurulent fluid regurgitation in 23(38.33%)
and purulent regurgitation in 8(13.33%) patients
Table-2: Bacteriological Examination
No of Cases
Table 2 shows that the commonest organism is
staphylococcus aureus (28.33%), followed by
streptococcus pneumoniae (23.33%).
Regarding sensitivity test our study shows that
Staph. Aureus is most commonly sensitive
against ciprofloxacin and gentamycin. Strep.
Pneumoniae is sensitive against ciprofloxacin
and Ampicillin. Overall sensitivity testing shows
that most effective antibiotic against all bacteria is
ciprofloxacin (80.76%) followed by Gatifloxacin
(46.15%), Chloramphenicol (42.30%), Tetracyclin
(44.23%), and Cloxacillin (32.69%).
The observations made in this study was more or
less similar to those of other previous authors. In
our study of 60 cases maximum number of
patients were in the 4th decade (23.33%) followed
by 5th decade (21.66%) & 3rd decade (20%) of
life. Sood et al 1 in 1967 and Visootr Chayakul et
al 2 in 1984 reported similar result. In this study
females 76.66 %( 46) were affected more than the
males 23.33 % ( 14). Duke-Elder (1974) 3 and
Trevor Roper et al 4 in 1974 made the similar
observation. The incidence of dacryocystitis was
more among housewives (63.33%) in our study.
Similar result was observed by Duke-Elder (1974)
3. Regarding social status our observation of
class(78.33%) was similar to that of Duke-
Elder(1974) 3 and Visootr Chayakul et al 2 in
observation was similar to Khurana AK 5 in 1996.
Predominant organism in our study was
Staphylococcus aureus (28.33%) followed by
Streptococcus pneumoniae (23.33%). Similar
results were stated by Prasad et al 6 (1958), Sood
et al 1 (1967) & D.V.Seal et al 7 (1982). While
examining the sensitivity test we found that the
most sensitive antibiotics were Ciprofloxacin
(69.23%), Gentamycin (67.30) & Tobramycin
(61.5%). Similar results were observed by Seal
D.V.et al 7 in 1982, Jain M.R. 8 in 1992 and
Mahajan VM et al 9 in 1987.
We conclude by saying that the present study
tried to find out the commonly involved
causative organism in chronic dacryocystitis and
helped to treat the patients with proper
antibiotics. It also studied local and general
predisposing factors causing dacryocystitis.
1.Sood NN, Ratnaraj A, Balaraman G, Madhavan HN,
study, Indian J Ophthalmol 1967; 15:107-10.
Visootr Chayakul: Studies on dacryocystitis and
dacryocytorhinostomy. X Congress APAO; 183-185,
Duke-Elder, 1974: System of Ophthalmology, edited
by Duke-Elder, Vol-13, part 2, 700-714, 1974.
Trevor Roper: A Clinico-bacteriological study of
chronic dacryocystitis, Ophthalmology; 83 (2): 275-
A K Khurana, Comprehensive Ophthalmology 2007
B Prasad, D Ram, G Prasad. Histological changes
Ophthalmology; vol: 6(4); P: 71-77 Year 1958.
D.V.Seal, J.I.Mcgeal: Etiology and treatment of
bacterial infections of external eye. : British Journal
of Oph. 66:357-370.,1982
Jain M.R.,: Clinical evaluation of Ciprofloxacin
drops in bacterial keratitis
MahajanVM, Bareja U. Prakash K.: Pneumococci in
ocular disease of children and their treatment.
Annals of Tropical Paediatrics.7:270-273, 1987.