Introduction Infection of lacrimal gland caused by Staph aureus Strep pneumoniae Hemophilus influenzae S. pyogenes Presentation Symptoms/physical exam inflammation and tenderness of nasal aspect of lower lid purulent discharge may be present Treatment Medical antibiotics Surgical Dacryocystorhinostomy for chronic dacryocystitis Prognosis, Prevention, and Complications Can spread to cavernous sinus resulting in thrombosis and meningitis