Lacrimal gland abscesses: Case series and literature review.

Authors:
Rand Rodgers
Rand Rodgers
Hofstra Northwell School of Medicine
Hempstead | United States
Matthew Gorski
Matthew Gorski
Winthrop-University Hospital
United States

Orbit 2017 Dec 16;36(6):428-432. Epub 2017 Aug 16.

a Department of Ophthalmology , Hofstra Northwell School of Medicine , Great Neck , New York , USA.

Acute dacryoadenitis with abscess formation has been rarely described. We describe four cases that resolved with incision and drainage. This includes a retrospective case series of four patients with radiologically confirmed lacrimal gland abscesses and a review of the reported cases in the literature. Computed tomography showed characteristic rim enhancing collections with central attenuation in all four cases. All patients presented with ptosis, upper eyelid erythema, and severe pain similar to scleritis. Injection of the conjunctiva and sclera was present in two patients, and a third patient presented with expression of purulent discharge onto the ocular surface upon palpation of the lacrimal gland. All patients were treated with intravenous antibiotics and underwent incision and drainage with subsequent improvement. All were monitored for 24 to 48 hours and discharged on oral antibiotics. There were no complications or recurrences. Lacrimal gland abscess formation is a rare complication of dacryoadenitis, and in our experience these patients respond well to incision and drainage in combination with systemic antibiotics.

Download full-text PDF

Source
http://dx.doi.org/10.1080/01676830.2017.1337205DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
December 2017
9 Reads

Publication Analysis

Top Keywords

lacrimal gland
16
incision drainage
12
abscess formation
8
case series
8
gland abscesses
8
patients
5
complications recurrences
4
ptosis upper
4
upper eyelid
4
pain scleritis
4
eyelid erythema
4
antibiotics complications
4
recurrences lacrimal
4
erythema severe
4
severe pain
4
lacrimal
4
patients presented
4
rim enhancing
4
enhancing collections
4
rare complication
4

References

(Supplied by CrossRef)
Article in Med J Malaysia
Krishnasamy M et al.
Med J Malaysia 1987
Article in Trans Opthal Soc UK
Jones BR. et al.
Trans Opthal Soc UK 1955
Article in Trans Am Ophthalmol Soc
Byers WG. et al.
Trans Am Ophthalmol Soc 1912

Similar Publications