A Case of Subacute Lacrimal Gland Pseudotumor after Trauma

Kang, Kui Dong; Kang, Seung Min; Yim, Hye Bin

Case Report

Korean Journal of Optometry and Vision Science 2007;6(1):99-102.
Published online December 20, 2007.

외상 후 눈물샘에 발생한 안와가성종양 1예

강규동, 강승민, 임혜빈

¹Nuffield Laboratory of Ophthalmology, University of Oxford, Oxford, UK,²Corea Eye Clinic, Seoul, ³Department of Ophthalmology, Our Lady of Mercy Hospital, Incheon,⁴Department of Ophthalmology, The Catholic University of Korea College of Medicine, Seoul, Korea

A Case of Subacute Lacrimal Gland Pseudotumor after Trauma

Kui Dong Kang, Seung Min Kang, Hye Bin Yim

Abstract

Purpose
We report a case of subacute lacrimal gland pseudotumor after trauma. Methods: A 48-year-old woman was referred to our clinic with an acute aggravation of upper eyelid swelling and blepharoptosis on her left eye for one month. She had an orbital contusion 10 days before the start of the upper eye lid swelling. Severe conjunctival chemosis in the supratemporal area of the left eye was seen with marked limitation in abduction and adduction in her left eye. She was admitted with a provisional diagnosis of acute orbital cellulitis and was started on intravenous antibiotics for one week. But her symptoms would not be resolved but aggravated. Magnetic resonance imaging (MRI) was done and it showed a crescent shaped mass in the left superior orbit, compressing the superior temporal surface of the eyeball. Results: With the impression of orbital pseudotumor, treatment with systemic corticosteroid was initiated and her symptoms were improved in 3 days. Conclusions: Lacrimal gland pseudotumor can occur after orbital trauma. (Korean J Optom Vis Sci 2007; 6(1):99-102)

Key Words: Corticosteroid, Orbital cellulites, Pseudotumor, Trauma