Symptoma

Lacrimal Gland Disorder

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]

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]

[…] ducts) 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]

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]

  • Cervical Lymphadenopathy

    Dramatic improvement ensued with shrinkage of both lacrimal glands and cervical lymphadenopathy. Unfortunately, the transplanted kidney underwent rejection, necessitating its removal. The patient remains well on dialysis with no recurrence of PTLD. [nature.com]

    Case Report A 7-year-old West African male patient had presented with multiple cervical lymphadenopathies in his native country at the age of 1 year. [ajnr.org]

    Cervical lymphadenopathy was noted bilaterally. Diagnosis A CT of the orbits was obtained that revealed increased attenuation and enlargement of the lacrimal glands bilaterally. [reviewofophthalmology.com]

  • Withdrawn

    Under oncology supervision, the cyclosporin A therapy was withdrawn. However, due to the minimal response, treatment with monoclonal anti-CD20 (Rituximab, Roche) was started. [nature.com]

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]

  • Pseudomonas

    Lacrimal Gland Removal on Squirrel Monkey Cornea 619 Lacrimal Fibroblastic Cells 625 Effects of Chronic Hypertonic Stress on Regulatory Volume Increase 637 A Unified Theory of the Role of the Ocular Surface in Dry Eye 643 Human Tear Film Components Bind Pseudomonas [books.google.com]

    – Pseudomonas. – Moraxella. – Neisseria gonorrhoeae. – Treponema pallidum. – Mycobacterium leprae. – Mycobacterium tuberculosis. – Borrelia burgdorferi. – Diptheroids. – Micrococcus. [aimu.us]

    Pseudomonas dacryoadenitis secondary to a lacrimal gland ductule stone. Ophthal Plast Reconstr Surg 1997;13(2):135-8. 10. Bekir NA, Gungor K. Bilateral dacryoadenitis associated with brucellosis. Acta Ophthalmol Scand 1999;77(3):357-8. 11. [reviewofophthalmology.com]

    Etiology Acute (ICD-9: 375.32) Lacrimal stenosis that results in secondary acute and severe infection Commonly cultured bacteria are Gram positive ( Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae ) and Gram negative ( Pseudomonas [entokey.com]

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]

Treatment: This will depend on the underlying disorder. Moist heat, disinfectant compresses (Rivanol), and local antibiotics are helpful. [emedtravel.wordpress.com]

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]

Interestingly, post-transplantaion MALTomas have also recently been reported and require differentiation from PTLD due to different managment and prognosis. [nature.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: The disorder is often attributable to pneumococci and staphylo-cocci, and less frequently to streptococci. [emedtravel.wordpress.com]

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]

[…] 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]

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 [ 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]

/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]

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]