A case report on lacrimal ductal cyst causing unilateral blepharoptosis

Nakauchi, Kana; Katori, Nobutada; Imagawa, Yukihiro; Yamada, Takayuki

doi:10.1136/bjo.2009.160812

Cited by 8 publications

(4 citation statements)

References 7 publications

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“…Duran in 1883 was the first to report a subconjunctival cyst associated with accessory lacrimal glands, followed by the review of Weatherhead in 1992, then several sporadic cases were published in the reviewed literature (from 1983 to 2015) with a total of 23 cases, which is equivalent to our total number of patients. 3 , 8 – 15 If we compare the demographic results in our series, accessory lacrimal gland dacryops is more frequent in males with a ratio of 14:9. This ratio is reversed in the reviewed published cases (9 males: 14 females) as summarized in Table 1 .…”

Section: Discussionmentioning

confidence: 88%

Accessory lacrimal gland duct cyst: 23 years of experience in the Saudi population

Galindo‐Ferreiro

Alkatan

Muiños-Diaz³

et al. 2015

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVESAccessory lacrimal gland ductal cyst is a rare clinical entity that has been reported after trauma, infection, or conjunctival inflammation. Trachoma has been postulated as an etiologic factor for this dacryops in Saudis. We studied the prevalence, demographics, clinicopathological features and surgical approach for these lesions.DESIGN AND SETTINGRetrospective study of 23 consecutive ductal cysts diagnosed clinically and proved histopathologically at King Khaled Eye Specialist Hospital (KKESH) over 23 years (1991–2014).PATIENTS AND METHODSData on patient demographics, clinical features, surgery, and outcome were collected by chart review. The histopathologic slides were reviewed by a single pathologist.RESULTSOf 23 cases of accessory lacrimal gland ductal cysts confirmed histopathologically, 14 were males and 9 females with a median age of 38.8 years. Cysts were located in the upper eyelid in 73.9%. The commonest presentation was a painless eyelid mass in 91.3%. Excision by conjunctival incision was performed in 14 and intra-operative perforation occurred in 9. Trachomatous scarring was evident in 39.1% but did not have significance in relation to this rupture. No recurrences have been observed with a mean follow up of 34.6 months.CONCLUSIONThe approximate prevalence of accessory lacrimal gland dacryops in the Saudi population is 1/6800. Trachoma does not seem to be a major predisposing factor. They are more frequent in males. Their histopathological appearance is identical regardless of origin. The presence of conjunctival scarring, dacryops size, and the surgical incision type did not seem to have significant correlation with the iatrogenic rupture of the cyst. We recommend careful dissection for complete cyst excision through conjunctival approach with no expected recurrence.

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Section: Discussionmentioning

confidence: 88%

Accessory lacrimal gland duct cyst: 23 years of experience in the Saudi population

Galindo‐Ferreiro

Alkatan

Muiños-Diaz³

et al. 2015

Annals of Saudi Medicine

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“…Histopathology of WD typically reveals a non-keratinizing, double layer of cuboidal to columnar epithelium [9,11,12,21] . Given the location of the cyst at the superior tarsal border, the cyst could potentially stretch or cause a dehiscence of the Muller's muscle underneath, which is a potential alternative mechanism for the ptosis [25] .…”

Section: Discussionmentioning

confidence: 99%

Wolfring dacryops: a case of acquired ptosis in a child

Fung¹,

Men²,

Korn³

et al. 2020

PAR

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“…Various treatment modalities, such as excision, simple aspiration, marsupialization, or needling, have been described for dacryops [ 1 , 3 , 12 , 13 ]. Complete surgical removal remains the mainstay treatment and can be performed either transconjunctivally or transcutaneously, with no proven benefit between these 2 surgical approaches [ 1 , 3 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and surgical outcomes of transcutaneous versus transconjunctival excision of Wolfring gland ductal cysts

Diab,

Allen,

Mohammed

et al. 2024

BMC Ophthalmol

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Purpose To analyze the clinicopathological characteristics and surgical outcomes of patients with Wolfring gland ductal cysts (WGDCs). Methods A retrospective, consecutive, interventional comparative case series was performed over a period of 7 years. Data on demographic and clinical characteristics, pathological findings and outcomes of surgically excised cysts were collected. A comparison between the transconjunctival and transcutaneous approaches was also assessed. Results Forty-eight patients (48 eyelids) were included in the final analysis. The most common presenting symptom was painless eyelid swelling (81.3%). The median symptom duration was 11.5 months (IQR, 18.25). The upper eyelid was involved in 31 (64.6%) patients, 29/31 of whom had cysts in a medial or centromedial location. Forty-five (93.8%) cysts were bluish gray and transilluminable with clear contents on lid eversion and a median largest dimension of 22 mm (IQR, 8). A transverse conjunctival fibrotic band was observed along the proximal tarsal border in the cyst area in all patients. Signs of chronic trachoma were noted in 38 (79.2%) patients. Preoperative significant ptosis was present in 28/31 (90.3%) of the upper eyelid cysts. Thirty cysts (62.5%) were excised through the skin, and 18 cysts (37.5%) were excised transconjunctivally. Intraoperative cyst rupture, the need for conjunctival grafting and postoperative residual upper lid ptosis were significantly greater in the transconjunctival group (p = 0.009, p < 0.001, and p = 0.016, respectively). Conclusion The present study highlights the clinicopathological characteristics of a relatively large series of surgically excised WGDCs. Transcutaneous excision of WGDCs has proven to be an effective treatment with fewer adverse sequelae than the transconjunctival approach.

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A case report on lacrimal ductal cyst causing unilateral blepharoptosis

Cited by 8 publications

References 7 publications

Accessory lacrimal gland duct cyst: 23 years of experience in the Saudi population

Accessory lacrimal gland duct cyst: 23 years of experience in the Saudi population

Wolfring dacryops: a case of acquired ptosis in a child

Clinical characteristics and surgical outcomes of transcutaneous versus transconjunctival excision of Wolfring gland ductal cysts

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