Annals of Optometry and Contact Lens 2017;16(3):112-114.
Published online September 25, 2017.
A Case of Lacrimal Gland Ductal Cyst Abscess
Sukyeon Lee, Jinhwan Park, Sehyun Baek
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Received: 6 March 2017   • Revised: 20 March 2017   • Accepted: 20 March 2017
Abstract
Purpose: We report the clinical characteristics and managemnet of a typical lacrimal ductal abscess case.
Case summary: A 41-year-old woman presented with a 5-day history of chemosis, injection, erythema, and a tender mass on her left upper eyelid, especially the left superotemporal fornix. Based on computed tomography image showing a dilated lacrimal ductal system and abscess pocket, we diagnosed a lacrimal ductal abscess, which may be related with previous lacrimal ductal cyst. And then, she was prescribed antibiotic eyedrops every 2 hour and received intravenous antibiotics. After no response to 3 days of conservative treatment, surgical treatment involving incision, drainage, and marsupialization was performed. Two weeks later after the operation, the patient had good functional and anatomical status, was free from pain, discomfort.
Conclusion: A lacrimal ductal cyst may progress to an abscess, and this should be suspected especially if the patient complains of a palpable tender mass, conjunctival swelling, and lacrimation. If an abscess is suspected, administration of intravenous antibiotics as well as surgical intervention such as marsupialization should be considered to prevent future complications.
Key Words: Lacrimal ductal cyst; Lacrimal ductal cyst abscess; Marsupialization


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
Korea University Anam Hospital, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, Korea
Tel: +82-2-2271-6603    Fax: +82-2-2277-5194    E-mail: journal@annocl.org                

Copyright © 2024 by The Korean Optometry Society and The Korean Contact Lens Study Society.

Developed in M2PI

Close layer
prev next