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Updated: Jan 1, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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Lacrimal Gland Ductal Cyst Complicated by Abscess Formation
Hadeel Sadek1, Neena Mirani1,2, Huey-Jen Lee3
1Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School.
Ophthalmic Plastic and Reconstructive Surgery
|December 24, 2019
Summary
This case report details a rare abscess within a lacrimal gland ductal cyst in a 52-year-old woman. Magnetic resonance imaging was crucial in diagnosing this acute eyelid swelling and pain.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Lacrimal gland ductal cysts are uncommon, and their abscess formation is exceptionally rare.
- This case highlights a potential complication of pre-existing lacrimal ductal abnormalities.
Observation:
- A 52-year-old female presented with acute left upper eyelid swelling, erythema, chemosis, epiphora, and pain.
- A 7-month history of a left lateral upper eyelid nodule preceded the acute symptoms.
Findings:
- Magnetic resonance (MR) imaging revealed a well-circumscribed cystic mass in the left lacrimal gland with a fluid-fluid level.
- Surgical confirmation identified an abscess within the lacrimal gland, with histopathology showing a dilated lacrimal duct containing inflammatory exudate.
Implications:
- This is one of the few reported cases of an acute lacrimal gland ductal cyst abscess.
- The study presents the first reported case with diagnostic MR imaging findings, aiding in understanding and diagnosing this rare condition.
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