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Diseases of the Lacrimal Secretory System

 

Diseases of the Lacrimal Secretory System 


Acute dacryoadenitis


 

Definition:-

 

Acute inflammation of the lacrimal gland.

 

Etiology:-

 

Causative organism:

 

- Usually viral as mumps.

 

- Staph., strept. and gonococci.

 

Route of infection:

 

- Blood born.

 

- Direct extension from lid or conjunctiva.

 

- Exogenous from penetration trauma.

 

Clinical picture:-

 

Symptoms:

 

- Painful swelling  over the gland.

 

- Fever, headache and malaise.

 

Signs:

 

- 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.

 

Treatment:-

 

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