Wolfring dacryops: a case of acquired ptosis in a child

Fung, Sammie; Men, Clara J; Korn, Bobby S.; Kikkawa, Don O.; Liu, Catherine Y.

doi:10.20517/2347-9264.2020.60

Cited by 2 publications

(2 citation statements)

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“…19 Due to the infrequency of dacryops, the literature primarily consists of isolated case reports – with few cases of childhood dacryops in the last decade and only one other presenting with upper lid ptosis. 4–10 The relevant clinicopathological details of reported cases of childhood dacryops are reviewed in Table 1. Despite the scarcity of pediatric dacryops, our case demonstrates the importance of considering lacrimal gland cysts in the differential diagnosis for pediatric patients who present with orbital masses.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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

Luthra¹,

Kim²,

Homer³

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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

Luthra¹,

Kim²,

Homer³

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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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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Wolfring dacryops: a case of acquired ptosis in a child

Abstract: DO, Liu CY. Wolfring dacryops: a case of acquired ptosis in a child.

Cited by 2 publications

References 24 publications

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

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

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

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