Presentation
Orbital presentation of posttransplantation lymphoproliferative disorder: a small case series. Ophthalmology 2002; 109 : 2351–2355. [nature.com]
The condition typically presents with conjunctival hyperemia, S-shaped ptosis, mucopurulent discharge, and discomfort. [amboss.com]
and smaller palpebral portion (5 - 7 ducts) See 01 and 02 Anatomy notes for blood supply and innervation Inflammations of the lacrimal gland May be bilateral ACUTE BACTERIAL DACRYOADENITIS Bacterial infections of lacrimal gland Often 2 ° to trauma Presents [academy.org.uk]
Determining whether a patient's presentation is acute or chronic can aid in determining etiology and choosing therapy. The presentation of dacryoadenitis may be quite variable. Acute cases usually present with more severe symptoms. [reviewofophthalmology.com]
Dacryoadenitis often lacks the inflammatory signs and may present with enlargement only, then it has to be distinguished from the neoplasm of the gland. Symptoms at presentation depend upon whether the disease process is acute or chronic. [aimu.us]
Workup
Clinical Evaluation When a diagnosis of acute dacryoadenitis is suspected, a focused workup of the condition should be initiated. A thorough history and physical is the essential first step. [reviewofophthalmology.com]
Although a hypercoagulable workup may detect an abnormality, routine hematological workup may be unremarkable. Retinal vein occlusions are less common than arterial occlusions. [richmondeye.com]
Negative Jones I test: Irrigate lacrimal drainage system to rule out punctal/canalicular stenosis Irrigation fails: Initiate further workup or refer patient to oculoplastic surgeon for evaluation. [entokey.com]
It is not uncommon for many patients to have a prolonged workup (more than 6 months) prior to being diagnosed with sarcoid (Iannuzzi 2011). [webeye.ophth.uiowa.edu]
Treatment
The diagnosis and treatment of posttransplant lymphoproliferative disorders. Curr Probl Surg 1988; 25 : 365–472. 6 Kaplan MA, Ferry JA, Harris NL, Jacobson JO. [nature.com]
[…] of Dry Eye Syndrome 571 a Tear Jet for Replacing Eye Moisture 577 Effective Treatment with Topical 583 Treatment of Severe Eye Dryness and Problematic Eye Lesions with Enriched 595 Effect of Collagen Punctal Occlusion on Tear Stability and Volume 605 [books.google.com]
New treatment options are now available. These include: LipiFlow. [allaboutvision.com]
Treatment Treatment of the underlying disorder Lacrimal duct probing / intubation : in all patients DCR: in refractory cases References: [2] [7] [8] [9] [10] [11] [12] Dacryocystitis The lacrimal gland should not be probed during acute infection, since [amboss.com]
Therefore previous treatments of meibomian gland disease were directed only to treatment of presumed infection of the eyelids or meibomian glands, or had particular disadvantages that made such treatments of little use for long periods. [google.tl]
Prognosis
Clinical course and prognosis: Acute inflammation of the lacrimal gland is characterized by a rapid clinical course and spontaneous healing within eight to ten days. The prognosis is good, and complications are not usually to be expected. [emedtravel.wordpress.com]
Prognosis [ edit ] Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the prognosis is that of the underlying condition. [en.wikipedia.org]
In most cases, the prognosis is good. Cysts develop again in some people. But these usually can be removed without complications. Benign tumors. The prognosis is usually very good. [drugs.com]
Etiology
It has also been suggested that dacryoadenitis from EBV responds well to systemic steroids. 21 Inflammatory etiologies should be managed based on the specific treatment for the etiology. [reviewofophthalmology.com]
Third, certain DED etiologies involve multiple mechanisms. [ajmc.com]
Etiology: The disorder is often attributable to pneumococci and staphylo-cocci, and less frequently to streptococci. [emedtravel.wordpress.com]
Dacryoadenitis References: [1] [2] [3] [4] [5] [6] Dacryostenosis Congenital dacryostenosis Acquired dacryostenosis Etiology Concretions in the NLD Granulomatous diseases: sarcoidosis ; granulomatosis with polyangiitis, tuberculosis Punctal stenosis: [amboss.com]
Epidemiology
[…] and Classification of Dry Eye 791 The Canadian Dry Eye Epidemiology Study 805 Use of a Questionnaire for the Diagnosis of Tear FilmRelated Ocular Surface 821 The Size of Corneal Epithelial Cells Collected by Contact Lens Cytology from 831 Diagnostic [books.google.com]
The International Workshop on Meibomian Gland Dysfunction: report of the Subcommittee on the Epidemiology of, and Associated Risk Factors for, MGD. Investigative Ophthalmology & Visual Science. March 2011. [allaboutvision.com]
Epidemiology of sarcoidosis. Epidemiol Rev 1983;5:124-56. Collison JMT, Miller NR, Green WK. Involvement of orbital tissues by sarcoid. Am J Ophthalmol 1986; 122:302-207. Hunninghake GW et al. ATS/ERS/WASOG statement on sarcoidosis. [webeye.ophth.uiowa.edu]
Epidemiology [ 1 ] Dry eye syndrome is a common condition affecting 15-33% of those aged over 65 years. Prevalence increases with age. It is 50% more common in women than in men. [patient.info]
The international workshop on meibomian gland dysfunction: report of the subcommittee on the epidemiology of, and associated risk factors for, MGD. Invest Ophthalmol Vis Sci. 2011;52(4):1994-2005. Su MY, Perry HD, Barsam A, et al. [healio.com]
Pathophysiology
Although recent research has made progress in elucidating DED pathophysiology, currently there are no uniform diagnostic criteria. [ajmc.com]
Dacryocystitis Andrew Mick ICD-9: 375.30 THE DISEASE Pathophysiology The disorder is characterized by acute or chronic infection or inflammation of the lacrimal sac. [entokey.com]
The International Workshop on Meibomian Gland Dysfunction: report of the Subcommittee on Anatomy, Physiology, and Pathophysiology of the Meibomian Gland. Investigative Ophthalmology & Visual Science. March 2011. [allaboutvision.com]
Pathophysiology Developments in the fields of immunology and molecular biology have contributed significantly to the understanding of the pathogenesis of Sjögren syndrome. [eyewiki.org]
Pathophysiology The etiology and pathogenesis of IgG4-ROD is currently unknown. Generally, pathogenesis is thought to revolve around humoral and cell-mediated immunity. [eyewiki.aao.org]
Prevention
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% You may [medicbind.com]
Prevention [ edit ] Mumps can be prevented by immunization. Gonococcus, bacteria can be avoided by the use of condoms. Most other causes cannot be prevented. [en.wikipedia.org]
The Activator (Disposable) is designed to maintain a clear air space between the lid warmer and cornea to prevent corneal contact and reduce thermal transfer. [dryeyeandmgd.com]