A case of simple bilateral dacryops: A review of literature

Authors : Nagalakshmi Narayana-Swamy, Alhaj Farhath Tasneem, Irvathur Vittal Nayak

DOI : 10.18231/j.ijooo.2020.052

Volume : 6

Issue : 3

Year : 2020

Page No : 229-231

Purpose: Dacryops, is a clinical entity of unknown aetiology. Here we present the clinical features and radiological presentation of a bilateral dacryops as a unique case.
Case Description: A 36year old woman presented with unilateral lid swelling, since 7years non-perceptible but obvious on reflex tear secretion. However, she had no complaints of pain, redness, discharge. On examination, vision was normal and lacrimal ducts were patent. Mass in the left eye was noted on reflex tear secretion such as exposure to air/chewing. No signs of inflammation present. Tear film tests were normal. Fundus, routine blood parameters and serum ACE was negative. Ultrasonography of the orbits showed well defined hypoechoiec cystic lesion along lateral aspect of left globe and CT showed bilateral predominantly cystic lesion more prominent on left compared to right. Bilateral Dacryops, is unusual. Thus it becomes essential that clinicians are aware of this condition and consider it as one of the differential diagnosis of the lacrimal gland masses.
Results: A case of bilateral dacryops detected incidentally, was investigated and followed up.
Conclusion: Dacryops, or a lacrimal gland ductal cyst, is a rare clinical entity, whose bilateral presentation is unusual. It is essential that we as clinician’s are aware of this condition and consider it as a differential diagnosis of the lacrimal gland masses.

Keywords: Dacryops, Orbit, Lacrimal gland.


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