Krause’s accessory lacrimal gland dacryops - case report and literature review

Alsulaiman, Hamad M.; Fatani, Dalal; Sheikh, Osama Al; Elkhamary, Sahar; Maktabi, Azza; Alkatan, Hind M.; Schellini, Silvana Artioli

doi:10.1080/01676830.2019.1704796

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…Dacryops is a closed ductal cyst arising from lacrimal gland tissue. It presents as a painless, wellcircumscribed, translucent lesion often with a bluish tint, and it may be derived from the main or accessory lacrimal glands [8] . These cysts are commonly classified by their location, with palpebral lobe cysts of the main lacrimal gland (simple dacryops) being the most common and cysts of the accessory lacrimal glands of Krause and Wolfring being quite rare [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

“…Dacryops usually occur unilaterally [12,13] , but they have rarely been shown to occur bilaterally [14,15] . The upper eyelid is more commonly involved (70.8%) than the lower eyelid, likely due to the fact that there are more ducts in the upper eyelid [8] . In previously reported cases of dacryops of the accessory glands, the mean age of occurrence was 30.5 years (ranging from ages 2 to 81), without male/female predominance [8,10,11,[15][16][17][18][19][20][21][22] [ Table 1].…”

Section: Discussionmentioning

confidence: 99%

“…MRI findings can be supportive and Table 1. Summary table of previously reported cases of dacryops of the accessory lacrimal gland [8,10,11,[15][16][17][18][19][20][21][22] A B typically show a T2 hyperintense, T1 hypointense mass with enhancement of the wall after gadolinium consistent with a fluid filled cyst [8,24] . Histopathology of WD typically reveals a non-keratinizing, double layer of cuboidal to columnar epithelium [9,11,12,21] .…”

Section: Discussionmentioning

confidence: 99%

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Wolfring dacryops: a case of acquired ptosis in a child

Fung¹,

Men²,

Korn³

et al. 2020

PAR

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Wolfring dacryops: a case of acquired ptosis in a child

Fung¹,

Men²,

Korn³

et al. 2020

PAR

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“…Alsulaiman et al 22 described a case of Krause's accessory lacrimal gland dacryops, presented with a swelling inferior to the MCT that was visible through the inferonasal fornix. Within their case series, Galindo-Ferriero et al 23…”

Section: Inferomedial Cystic Lesionsmentioning

confidence: 99%

Clinico-radiologic characteristics of lacrimal sac area swellings misdiagnosed as dacryocystocele or mucocele

Diab

Ali

Mohammed

2022

European Journal of Ophthalmology

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Purpose Several non-lacrimal lesions can present with lacrimal sac area swelling mimicking a dacryocystocele or mucocele with a possibility of misdiagnosis. This study investigates the clinic-radiologic characteristics of the mimicking conditions compared to true lacrimal sac distension. Design Retrospective, comparative, interventional case series Participants Patients referred by primary care ophthalmologists between January 2015 and October 2021 with a misdiagnosis of dacryocystocele or lacrimal sac mucocele (n = 39) and an age-matched group of proven true lacrimal sac swelling (TLS group, n = 44). Methods Data collected included demographics, presenting features, investigations, management, histopathology, and outcomes. Both groups were statistically compared for several clinical and radiological variables. Results Final diagnoses in the mimicking group were skin/subcutaneous swellings (14/39, 35.9%), vascular malformations (10/39, 25.6%), inferomedial anterior orbital cysts (7/39, 17.9%), sino-orbital masses (5/39, 12.8%). Female gender (<0.001), epiphora (p = 0.001), and discharge (p < 0.001) were significantly more frequent in the TLS group. The mimicking group was more likely to be associated with a longer swelling duration (p < 0.001), a swelling extending beyond the lacrimal sac area (p <0.001), orbital signs (p <0.001), and periorbital abnormality. Non-patent lacrimal irrigation (p < 0.001) was significantly more frequent in the TLS group. On imaging, all swellings in the mimicking group were separate from the lacrimal pathway and 94.9% (37/39) extended beyond the lacrimal sac fossa. Conclusion Various cutaneous, subcutaneous, vascular, inferomedial orbital cystic, and sinonasal pathologies can present with lacrimal sac area swelling and mimic a TLS. A high index of suspicion, a thorough clinical evaluation and proper imaging are essential to avoid a misdiagnosis.

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“…1–3 The incidence of pediatric dacryops is unknown, with very few cases reported in the literature. 4–10 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. 1,11–15 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.…”

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confidence: 99%