Bilateral Acute Dacryocystitis in an adult patient following Punctal Thermal Cautery for Dry Eye Syndrome

: Bilateral acute dacryocystitis is an acute inflammation of the both lacrimal sacs, commonly seen with congenital nasolacrimal duct obstruction ,in adults sometimes can be seen with bilateral sinonasal polyposis, bilateral inferior turbinate hypertrophy and rarely with atrophic rhinitis producing excessive crusting bilaterally causing potential nasolacrimal duct orifice obstruction, but here we have treated a patient with dry eyes due to primary kerato conjuctivitis sicca by bilateral lacrimal punctal thermal cautery and following which after 25 days the patient came back with bilateral acute dacryocystitis presenting with fever, swelling over both the lacrimal sac area, pain and tenderness over the swelling, we have managed the patient in our inpatient department with intravenous antibiotics, aspiration of the sac, injection of antibiotics into the sac, culture and sensitivity of the aspirate followed by surgical intervention for the dacryocystitis made us to present this journal.