Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Remedy For Streptococcus Eye Infection In Children
Hello, my daughter is 3 and a half months old and has a Streptococcus pneumoniae infection of the left eye, I think that it's in the nasolacrimal canal. We made the necesarry tests, and acording to the antibiogram, the bacteria is sensitive to ciprofloxacin and chloramphenicol. We did 2 week treatment (ciprofloxacin drops during the day and chloramphenicol ointment during the night), but the bacteria keeps coming back :-(. I'm a pharmacist and I really tried everything I know, consulting her pediatrician and ophtalmologist, but no luck! Please help!
posted on
Thu, 13 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 24 Jan 2016
Answered on
Wed, 27 Jan 2016
Last reviewed on
Welcome to HCM
I have carefully read and understood you query
I hope you will find this useful
Unfortunately the Nasolacrimal duct infection keeps coming back as it has a blockage inside which needs to be addressed surgicaalu at the age of 8 to 9 months.But not very late than that.Surgical treatment includes probing and syringing of the duct for mechanical removal of the blockage. Probing failures are treated with more aggressive surgical procedures including balloon dacryoplasty and nasolacrimal duct intubation. Endoscopic dacryocystorhinostomy is generally reserved for intubation and balloon dacryoplasty failures
But before that,the mangement is at home.
Don't use cipro or chloramphenicol too much.Replace it with netilmycin which better in case of NLD infections in infants with less after effects.
Important is to massage the medial side of the eye along the nose with the little finger,where the duct is.Give ten strokes four times a day.This is very effective in removing the blockage with pressure.But don't exert excessive pressure.If it does not work for till 8 months of age,see an ophthalmologist for intervention.
I will be happy to know if you have found answer to your query
Thank you
Dr Faeza Sherdil
I have carefully read and understood you query
I hope you will find this useful
Unfortunately the Nasolacrimal duct infection keeps coming back as it has a blockage inside which needs to be addressed surgicaalu at the age of 8 to 9 months.But not very late than that.Surgical treatment includes probing and syringing of the duct for mechanical removal of the blockage. Probing failures are treated with more aggressive surgical procedures including balloon dacryoplasty and nasolacrimal duct intubation. Endoscopic dacryocystorhinostomy is generally reserved for intubation and balloon dacryoplasty failures
But before that,the mangement is at home.
Don't use cipro or chloramphenicol too much.Replace it with netilmycin which better in case of NLD infections in infants with less after effects.
Important is to massage the medial side of the eye along the nose with the little finger,where the duct is.Give ten strokes four times a day.This is very effective in removing the blockage with pressure.But don't exert excessive pressure.If it does not work for till 8 months of age,see an ophthalmologist for intervention.
I will be happy to know if you have found answer to your query
Thank you
Dr Faeza Sherdil
I find this answer helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Streptococcaceae
Loading Online Doctors....