What is the treatment for Dacrocystitis if there is a secondary infection?

The recommended treatment for dacrocystitis, particularly in the presence of a secondary infection, involves the use of systemic antibiotics. Dacrocystitis is an infection of the lacrimal sac, which can occur due to obstruction of the nasolacrimal duct or other causes. When there is a secondary infection, systemic antibiotics are necessary to effectively target the bacteria involved, as they penetrate into the body and reach the infected areas more deeply than topical treatments.

While warm compresses can provide comfort and assist in relieving inflammation, and topical antibiotics may be beneficial for mild cases of conjunctivitis or infections of the eyelid, they are not sufficient for treating the deeper infection within the lacrimal sac when it is involved with dacrocystitis. Surgical intervention might be necessary in some cases, particularly for chronic conditions or if there is a need to drain an abscess, but this is not the standard initial treatment approach when addressing a secondary infection specifically. Thus, systemic antibiotics are the most appropriate choice to manage complications effectively.