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 Table of Contents    
CLINICAL QUIZ
Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 215  

Nonprogressive, bilateral painless swellings of the lacrimal glands


Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman

Date of Web Publication20-Nov-2015

Correspondence Address:
Dr. Abdullah Al-Mujaini
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.169903

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How to cite this article:
Wali U, Shenoy M K, Al-Sabt B, Al-Mujaini A. Nonprogressive, bilateral painless swellings of the lacrimal glands. Oman J Ophthalmol 2015;8:215

How to cite this URL:
Wali U, Shenoy M K, Al-Sabt B, Al-Mujaini A. Nonprogressive, bilateral painless swellings of the lacrimal glands. Oman J Ophthalmol [serial online] 2015 [cited 2020 May 25];8:215. Available from: http://www.ojoonline.org/text.asp?2015/8/3/215/169903

A 22-year-old male presented with fullness in the lateral aspect of the right upper lid and swelling in right lateral canthal area since 6 years. The swelling has progressed minimally since then. He did not seek any medical treatment partly because the swelling was not grossly visible from outside, and partly he did not have any pain. There was no history of trauma. On examination an 8 mm × 4 mm translucent bluish-purple nodular soft cystic swelling with a hyperemic swollen conjunctival base was found in the palpebral portion of the lacrimal gland [Figure 1]. He had two transparent cysts in the palpebral portion of the lacrimal gland in the left eye as well. These were nontender with no associated involvement of adjacent structures or signs of inflammation. There was no preauricular or submandibular lymphadenopathy. Slit lamp examination both eyes showed normal anterior (cornea, anterior chamber, lens) and posterior segments.
Figure 1: Orbital dacryops right lacrimal gland

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   Questions Top


  1. What is the likely diagnosis? Describe three features in support of your diagnosis.
  2. What are the common differential diagnoses of nontender, cystic slow-progressing swelling of the lacrimal gland.




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   References Top

1.
Brownstein S, Belin MW, Krohel GB, Smith RS, Condon G, Codere F. Orbital dacryops. Ophthalmology 1984;91:1424-8.  Back to cited text no. 1
[PUBMED]    
2.
Duman R, Duman R, Balci M. Diplopia due to Dacryops. Case Rep Ophthalmol Med 2013;2013:549487.  Back to cited text no. 2
    
3.
Tsai FF, Mukhopadhyay C, Zeng J, Shinder R. Bilateral marked dacryops following trauma. Orbit 2012;31:435-7.  Back to cited text no. 3
    
4.
Smith S, Rootman J. Lacrimal ductal cysts. Presentation and management. Surv Ophthalmol 1986;30:245-50.  Back to cited text no. 4
[PUBMED]    
5.
Gonzalez-Saldivar G, Lee NG, Chodosh J, Freitag SK, Stacy RC. Dacryops in the setting of a Boston type II keratoprosthesis. Ophthal Plast Reconstr Surg 2014;30:e73-5.  Back to cited text no. 5
    
6.
Kurup SP, Lissner GS. Characterization of dacryops infections. Ophthal Plast Reconstr Surg 2015;31:58-62.  Back to cited text no. 6
    
7.
Salam A, Barrett AW, Malhotra R, Olver J. Marsupialization for lacrimal ductular cysts (dacryops): A case series. Ophthal Plast Reconstr Surg 2012;28:57-62.  Back to cited text no. 7
    


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