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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Dacryocystitis. Abscess Was Drained Away After It Perforated. Antibiotics To Be Taken For Recovery?

I have a nasty dacryocystitis 3 weeks old alreaday, I was in the hospital for Zosyn 3.375gm q6h for 14 doses then Levaquin 500mg qd for 9 days, now Keflex 500mg q6h, it still is a nasty abscess , it was drained 1 week ago after it perforated. C & S from pus was inconclusive (zosyn has killed too many bacterias?) , some coryne bacterias present, any recommendations for antibiotics would be greatly appreciated. I m so stressed, havent been able to sleep. Thanks a zillion for any help.
Wed, 18 Jul 2012
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Ophthalmologist 's  Response
dacryocystitis..which is nasty/chronic..should be checked for naso-lacrimal passage patency by yr doc..if that is blocked then u require surgery..dacryocystorhinostomy..it has some some advancement- endoscopic DCR/laser DCR..
if the passage is patent..then lacrimal massage 40 times a day..take yr index finger from extreme nasal side of eye corner-press firmly..till yr skin blanches..upto side of the nose--keep the firm pressure from up to down..and count as one stroke..u may get the culture of the discharge../sensitivity of medicine of the bacteria found..or u may start ofloxacin eye drops and ointments along with tobramycin eye drops and ointments..2 hourly each..use nasal decongestant nasal drops -nasivion 4 times a day..
this condition takes a long time to recover..so keep patience..u will be fine..tell me about the patency test from yr doc
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Have Dacryocystitis. Abscess Was Drained Away After It Perforated. Antibiotics To Be Taken For Recovery?

dacryocystitis..which is nasty/chronic..should be checked for naso-lacrimal passage patency by yr doc..if that is blocked then u require surgery..dacryocystorhinostomy..it has some some advancement- endoscopic DCR/laser DCR.. if the passage is patent..then lacrimal massage 40 times a day..take yr index finger from extreme nasal side of eye corner-press firmly..till yr skin blanches..upto side of the nose--keep the firm pressure from up to down..and count as one stroke..u may get the culture of the discharge../sensitivity of medicine of the bacteria found..or u may start ofloxacin eye drops and ointments along with tobramycin eye drops and ointments..2 hourly each..use nasal decongestant nasal drops -nasivion 4 times a day.. this condition takes a long time to recover..so keep patience..u will be fine..tell me about the patency test from yr doc