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Caruncular Dacryops After Cataract Surgery With Histopathological Characterization
Parth R Vaidya1, Madeline L D'Aquila1, Nicholas A Ramey1,2
1Department of Basic Science Education, Virginia Tech Carilion School of Medicine, Roanoke, VA.
The American Journal of Dermatopathology
|September 21, 2020
Summary
Caruncular dacryops, a rare lacrimal gland cyst, can occur after cataract surgery. Complete surgical excision is effective, with no recurrence observed in this case.
Area of Science:
- Ophthalmology
- Histopathology
Background:
- Caruncular dacryops is a rare cyst originating from lacrimal tissue, typically found in the lacrimal gland's palpebral lobe.
- Etiology remains unclear, with potential links to congenital factors, trauma, infection, or inflammation.
Observation:
- A 68-year-old woman presented with eye irritation and pruritus three months post-cataract surgery.
- Physical examination revealed a 6x6mm clear cyst prolapsing from the lacrimal gland into the lateral fornix of the left eye.
Findings:
- Histological examination identified a double layer of flat cuboidal epithelium surrounded by fibrous tissue and minor lacrimal glands.
- Periodic acid Schiff-diastase and mucicarmine staining confirmed the presence of goblet cells within the epithelial lining.
Implications:
- Complete excision is the primary treatment for caruncular dacryops, demonstrating high efficacy with no recurrence in this reported case.
- This case underscores the importance of recognizing caruncular dacryops, particularly its potential incidence following ophthalmic procedures like cataract surgery.
