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Bilateral lacrimal duct cyst.

¹Department of Ophthalmology, New England Medical Center, Boston, Massachusetts.

Ophthalmic Surgery

|November 1, 1988

Summary

This study details a rare case of large, bilateral lacrimal gland cysts in the orbital lobe. Chronic inflammation and duct obstruction likely caused these unusual acquired cysts.

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Area of Science:

Ophthalmology
Pathology

Background:

Lacrimal gland cysts are infrequently reported, typically presenting as small, unilateral lesions in the palpebral lobe.
Acquired cysts of the lacrimal gland are particularly uncommon.

Observation:

This report describes an unusual case involving bilateral, large acquired cysts affecting the orbital lobe of the lacrimal glands.
Pathological examination revealed significant chronic inflammation and fibrosis within the lacrimal gland tissue.

Findings:

The formation of these large, bilateral orbital lacrimal gland cysts is attributed to a combination of factors.
Proposed mechanisms include prolapse of the lacrimal gland leading to lacrimal duct obstruction and concurrent chronic dacryoadenitis.

Implications:

This case expands the understanding of lacrimal gland cyst presentation and etiology.
Highlights the potential for complex cyst development in the orbital lobe, distinct from common palpebral presentations.
Suggests a multifactorial etiology involving mechanical obstruction and inflammatory processes in lacrimal gland cystogenesis.

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