Diseases of the Lacrimal Secretory System
Acute inflammation of the lacrimal gland.
- Usually viral as mumps.
- Staph., strept. and gonococci.
Route of infection:
- Blood born.
- Direct extension from lid or conjunctiva.
- Exogenous from penetration trauma.
- Painful swelling over the gland.
- Fever, headache and malaise.
- The gland becomes palpable, red, hot and tender.
- Pus may point in the region of the gland.
- S - shaped deformity of the lid margin due enlargement of the palpebral portion of the gland.
- Down and nasal proptosis due to enlargement of the orbital portion of the gland.
1. Antibiotics, hot fomentations and analgesics.
2. If pus is pointing it should be drained by a skin incision.
NB. Miculicz disease: It is bilateral lacrimal and parotid enlargement. It has many causes as sarcoidosis, leukemia or lymphomas