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Infantile simple dacryops: clinicopathological correlation and immunocharacterization.

Anuradha Pradhan¹, Devjyoti Tripathy¹, Ruchi Mittal²

¹Ophthalmic Plastic Surgery and Ocular Oncology Services.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|December 11, 2019

Summary

Simple dacryops, a rare lacrimal gland cyst, occurred in an 18-month-old girl. Early surgical excision prevented vision loss, with clinicopathological analysis guiding management.

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Area of Science:

Ophthalmology
Pediatric Ophthalmology
Pathology

Background:

Simple dacryops is the most common cystic lesion of the lacrimal gland ducts in adults.
Lacrimal gland dacryops in pediatric patients are rare.

Observation:

An 18-month-old girl presented with a painless swelling in her right upper eyelid, noted since 4 months of age.
The swelling was diagnosed as a simple dacryops of the lacrimal gland.

Findings:

Clinicopathological and immunohistochemical analyses were performed on the excised cyst.
The cyst wall contained ductal and acinar structures of the lacrimal gland.

Implications:

Early surgical excision is recommended to prevent complications like deprivational amblyopia in pediatric dacryops.
Understanding the clinicopathological features aids in managing this rare pediatric condition.