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Updated: Mar 27, 2026

Nasolacrimal Lavage as a Treatment for Ocular Surface Toxic Soup Syndrome
Published on: April 25, 2025
Lacrimal gland abscess presenting with preseptal cellulitis depicted on CT
Daniel Thomas Ginat1, Lora Rabin Dagi Glass2, Fatoumata Yanoga3
1Department of Radiology, University of Chicago, Pritzker School of Medicine, 5841 S Maryland Avenue, Chicago, IL, 60637, USA. dtg1@uchicago.edu.
Background:
Pyogenic lacrimal gland abscesses are uncommon and thus may not be immediately clinically recognized without a high index of suspicion.
Findings:
We present two patients with preseptal cellulitis and characteristic low-attenuation fluid collections in the lacrimal glands demonstrated on computed tomography (CT).
Conclusions:
Lacrimal gland abscesses should be considered when dacryoadenitis is refractory to medical treatment. Indeed, these cases highlight the value of prompt recognition of lacrimal abscess through ophthalmologic referral and the use of diagnostic imaging. Both patients were successfully treated via incision and drainage.
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