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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
PubMed

Insights

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.

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.

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