Lacrimal Gland Ductulitis: Clinical Features and Management.
10.3341/jkos.2013.54.7.1001
- Author:
Sung In KIM
1
;
Kyeong Wook LEE
Author Information
1. Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea. lkw740306@daum.net
- Publication Type:Original Article
- Keywords:
Actinomyces;
Lacrimal gland ductulitis
- MeSH:
Actinomyces;
Cilia;
Curettage;
Eye;
Female;
Humans;
Lacrimal Apparatus;
Male;
Retrospective Studies;
Sulfur
- From:Journal of the Korean Ophthalmological Society
2013;54(7):1001-1005
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To describe the clinical characteristics and management of a group of patients who had infection of the lacrimal gland ductules. METHODS: We performed a retrospective chart review of 12 patients who had infection of the lacrimal gland ductules and were managed at Saevit Eye Hospital from June 2010 to May 2012. RESULTS: The patients' mean age was 31.8 +/- 17.7 years, and 7 were male and 5 were female. Common symptoms were a painful, swelling mass with mucous discharge (8 eyes) and conjunctival injection (4 eyes) at the lateral canthal area. All patients underwent surgical intervention by incision and curettage. Eleven patients (91.7%) had typical sulfur granule of actinomyces, and 8 patients (66.7%) had many cilia in the expressed debris from the ductule. All patients had resolution of symptoms after the procedure and showed no recurrence. CONCLUSIONS: Infective lacrimal gland ductulitis should be considered when a painful swelling mass with mucous discharge at the lateral canthal area is present. Surgical intervention by incision and curettage can be attempted preferentially as a minimally-invasive treatment option.
