What does early-stage dacryocystitis look like?
Nov 26, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, dacryocystitis, as an inflammatory disease of the lacrimal sac area, initially presents with symptoms such as epiphora (excessive tearing), discomfort in the lacrimal sac region, increased secretions, mild local redness and swelling, and signs of nasolacrimal duct obstruction. When these symptoms occur, it is important to maintain eye hygiene, avoid rubbing the eyes, and minimize ocular irritation. Prompt and accurate diagnosis is essential, and targeted management should be carried out under professional guidance.
Generally, as an inflammatory condition affecting the lacrimal sac area, dacryocystitis initially presents with symptoms such as epiphora (excessive tearing), discomfort in the lacrimal sac region, increased secretions, mild local redness and swelling, and signs of nasolacrimal duct obstruction. The specific manifestations are analyzed as follows:
1. Epiphora: The most prominent early symptom is epiphora, where patients frequently experience uncontrolled overflow of tears. This is especially noticeable in windy conditions, during emotional fluctuations, or after prolonged eye use. It occurs due to congestion and swelling of the lacrimal duct mucosa, which narrows the tear drainage pathway and prevents tears from flowing normally into the nasal cavity.
2. Lacrimal Sac Discomfort: A mild soreness or dull ache may develop below the inner corner of the eye, where the lacrimal sac is located. The discomfort may worsen upon pressing, but the pain is generally mild, intermittent, and can be temporarily relieved with rest.
3. Increased Secretions: Mucous discharge appears at the corner of the eye. Though the amount is small, it persists continuously. Upon waking, the discharge may adhere to the eyelid margins or eyelashes, making it slightly difficult to open the eyes. The secretions typically have no strong odor and are usually transparent or light yellow in color.
4. Mild Local Redness and Swelling: Some patients may develop slight redness and swelling of the skin below the inner corner of the eye. The swollen area is small, soft in texture upon touch, without distinct nodules. Skin temperature may be slightly elevated, but severe inflammation with intense redness, swelling, heat, and pain is absent.
5. Signs of Tear Duct Obstruction: When gently pressing the lacrimal sac area, some patients may notice mucus or pus exuding from the puncta. During lacrimal irrigation, the irrigating fluid fails to pass smoothly through the tear duct and may reflux instead.
When the above symptoms occur, it is important to maintain ocular hygiene, avoid rubbing the eyes, and minimize eye irritation. Prompt and accurate diagnosis is essential, and targeted treatments should be administered under professional guidance to prevent disease progression.
