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Wolfring dacryops and needling

D O'Duffy¹, P Watts

¹Prince Charles Eye Unit, King Edward VII Hospital, Berkshire, UK.

Acta Ophthalmologica Scandinavica

|June 1, 1997

Summary

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Accessory lacrimal gland cysts (dacryops) are rare in Europe. A case in a Caucasian male, without prior trachoma, was successfully treated with simple cyst needling, showing no recurrence at two years.

Area of Science:

Ophthalmology
Anatomical Pathology

Background:

Accessory lacrimal gland of Wolfring cysts (dacryops) are uncommon, particularly in Europe.
They are more prevalent in regions with endemic trachoma, often associated with prior trachomatous scarring.
Standard management involves surgical excision via conjunctival incision under an operating microscope.

Observation:

A dacryops of the gland of Wolfring occurred in a Caucasian male patient.
The patient exhibited no clinical signs of previous trachoma.
The cyst was managed using a minimally invasive approach: simple needling.

Findings:

The simple needling procedure resulted in complete resolution of the dacryops.
No recurrence of the cyst was observed during a two-year follow-up period.

Related Experiment Videos

This contrasts with simple aspiration, which is often ineffective due to cyst refilling.

Implications:

Simple needling may be a viable, less invasive alternative for managing dacryops, even in cases without trachoma.
This approach could offer a simpler treatment option compared to traditional surgical excision.
Further investigation into the efficacy of minimally invasive techniques for dacryops is warranted.