|Year : 2015 | Volume
| Issue : 3 | Page : 215
Nonprogressive, bilateral painless swellings of the lacrimal glands
Upender Wali, M Kashinatha Shenoy, Buthaina Al-Sabt, Abdullah Al-Mujaini
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman
|Date of Web Publication||20-Nov-2015|
Dr. Abdullah Al-Mujaini
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat
Source of Support: None, Conflict of Interest: None
|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 2021 May 14];8:215. Available from: https://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.
| Questions|| |
- What is the likely diagnosis? Describe three features in support of your diagnosis.
- What are the common differential diagnoses of nontender, cystic slow-progressing swelling of the lacrimal gland.
| References|| |
Brownstein S, Belin MW, Krohel GB, Smith RS, Condon G, Codere F. Orbital dacryops. Ophthalmology 1984;91:1424-8.
Duman R, Duman R, Balci M. Diplopia due to Dacryops. Case Rep Ophthalmol Med 2013;2013:549487.
Tsai FF, Mukhopadhyay C, Zeng J, Shinder R. Bilateral marked dacryops following trauma. Orbit 2012;31:435-7.
Smith S, Rootman J. Lacrimal ductal cysts. Presentation and management. Surv Ophthalmol 1986;30:245-50.
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.
Kurup SP, Lissner GS. Characterization of dacryops infections. Ophthal Plast Reconstr Surg 2015;31:58-62.
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.