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Ophthalmology · Lacrimal: dacryocystitis
Sample itemAn adult woman has a painful red swelling below the medial canthus with watering. What is the definitive treatment of chronic dacryocystitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Dacryocystorhinostomy
Chronic dacryocystitis follows nasolacrimal duct obstruction with stagnation of tears, and DCR creates a new drainage path from the sac to the nose. Acute attacks are treated with systemic antibiotics first.
Option by option
A. Topical steroids
Steroids do not treat infection.
B. Eyelid surgery
Lid surgery is not needed.
C. Dacryocystorhinostomy (correct)
Correct. DCR bypasses the obstruction.
D. Repeated syringing
Syringing does not solve the block.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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