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Lacrimal Gland Abscess: A Case Report
Mayari Ito1, Aric Vaidya1,2, Steffani Krista Someda1
1Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
This study reports a rare lacrimal gland abscess case. Diffusion-weighted imaging and ADC maps aided diagnosis when cultures yielded limited results, guiding treatment for this uncommon condition.
Area of Science:
- Ophthalmology
- Radiology
Background:
- Lacrimal gland abscess is a rare condition.
- Early diagnosis and treatment are crucial for favorable outcomes.
Observation:
- A 47-year-old woman presented with recurrent eyelid swelling, initially diagnosed as dacryoadenitis.
- Magnetic resonance imaging revealed a lacrimal gland lesion with characteristic signal intensities on diffusion-weighted imaging and ADC maps.
- Blood tests showed positive proteinase 3-anti-neutrophil cytoplasmic antibody.
Findings:
- Abscess drainage and biopsy were performed.
- Culture of the abscess yielded minimal bacterial growth (Cutibacterium acnes).
- Histopathology showed inflammation without vasculitis.
Implications:
- Diffusion-weighted imaging and ADC maps are valuable diagnostic tools for lacrimal gland abscess, especially with inconclusive cultures.
- Prompt imaging and intervention can lead to successful management and symptom resolution.
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