Lacrimal gland abscesses: Case series and literature review

Brian Savoie, Rand Rodgers, Matthew Gorski

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)428-432
Number of pages5
JournalOrbit
Volume36
Issue number6
DOIs
StatePublished - 2 Nov 2017

Keywords

  • Dacryoadenitis
  • lacrimal gland abscess
  • orbital cellulitis

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