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Updated: Apr 28, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Characterization of dacryops infections
Sudhi P Kurup1, Gary S Lissner
1*Department of Ophthalmology, Northwestern University Feinberg School of Medicine, †Division of Ophthalmology, Ann & Robert H. Lurie Children's Hospital of Chicago, and ‡Northwestern Medical Faculty Foundation, Chicago, Illinois, U.S.A.
Dacryops infection, a rare cause of eyelid masses, can be diagnosed with imaging and treated with antibiotics or surgery. This study characterizes 5 cases, noting predisposing factors and management options.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pathology
Background:
- Dacryops, a lacrimal gland cyst, can become infected, presenting as an ocular adnexal mass.
- Distinguishing dacryops infection from other inflammatory masses like orbital cellulitis or abscess is clinically important.
Observation:
- This study reviewed 5 patients with unilateral dacryops infections, predominantly affecting the main lacrimal gland.
- Predisposing factors included eyelid margin disease, conjunctivitis, and contact lens wear.
- Computed tomography (CT) effectively visualized lesion location and size.
Findings:
- Surgical excision with histopathology confirmed diagnosis and prevented recurrence.
- Spontaneous drainage and antibiotic therapy were also effective management strategies, potentially avoiding surgery.
- The average patient age was 44.6 years.
Implications:
- Dacryops infection should be considered in the differential diagnosis of inflamed upper fornix masses.
- Orbital imaging aids in lesion assessment, while histopathology confirms diagnosis.
- Understanding predisposing factors can guide preventative strategies.
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