Bilateral Marked Dacryops Following Trauma

Abstract

A 35 year-old man presented for evaluation of bilateral lacrimal fossa masses. He sustained left and right periocular trauma, eight months and five years prior to presentation, respectively. The patient had marked dacryops, left greater than right, which was confirmed by orbital CT. Surgical excision of the left dacryops was performed, and excision of the right sided lesion was deferred by the patient.

Nonprogressive, bilateral painless swellings of the lacrimal glands

“…Trauma has been implicated in the etiology of dacryops. [ 3 ] These cysts are diagnosed easily on clinical examination with a classical appearance of a nontender, lateral upper lid swelling along with circumscribed, bluish, translucent cysts in the cul-de-sac of the superior temporal orbit (as in our case). Cases having tenderness and irritation have been reported.…”

Giant Lacrimal Gland Cyst in a Pediatric Patient: Case Report and Review of the Literature

“…[4][5][6][7][8][9][10] Lacrimal gland cysts in pediatric patients require heightened attention because of the risk of mechanical ptosis, astigmatism, diplopia, and ocular dystopia, which may lead to enduring amblyopia 1,3 Although the exact etiology of dacryops remains unknown, several predisposing factors have been proposed including periductal or chronic conjunctival inflammation, trauma, chemical injury, or ocular trachoma infection. 1,[11][12][13][14][15] Herein, the authors report a 6-year-old male patient presenting with progressive left upper lid ptosis and fullness, found to have a large ipsilateral superotemporal orbital mass, ultimately determine to be a giant lacrimal gland cyst. Permission was obtained from the patient's parents for publishing this report and accompanying photographs.…”

Characterization of Dacryops Infections

“…Periductular inflammation and scarring may play a role, especially given the clinical context of dacryops formation after antecedent chemical injury 14 or trauma. 15 Dacryops can run a benign course or wax and wane while being asymptomatic to the patient. [1][2][3][4] Observation is often recommended for these cysts if it can be assured that no malignancy is present.…”