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Wolfring dacryops.
1Division of Oculoplastic Surgery, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Ophthalmology
|October 1, 1992
Summary
Ductal cysts of Wolfring glands, often linked to trachoma, form through active secretion and duct occlusion. Surgical excision via conjunctiva is recommended for these easily recognized lacrimal gland cysts.
Area of Science:
- Ophthalmology
- Histopathology
- Immunology
Background:
- Presents a series of 13 unique cases of ductal cysts affecting the accessory lacrimal glands of Wolfring.
- Highlights that these cysts are a readily identifiable clinical condition once recognized.
Observation:
- Histological verification confirmed the origin of these cysts from ductal epithelium.
- Biochemical analysis of cyst fluid revealed high levels of Immunoglobulin A (IgA), suggesting an active secretory process.
Findings:
- All patients exhibited extensive trachomatous scarring, indicating a potential link to trachoma.
- Monoclonal antibody staining implicated IgA-secreting plasma cells in the tissue surrounding the ducts.
Implications:
- Proposes a two-step mechanism for dacryops (ductal cyst) formation: active secretion followed by duct occlusion.
- Recommends surgical excision through a conjunctival approach, including removal of a small tarsal border strip to prevent cyst rupture.