Eye

Lacrimal duct / gland

Inflammatory lesions of lacrimal gland and related structures



Last author update: 1 February 2014
Last staff update: 28 June 2024

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PubMed Search: Inflammatory lesions lacrimal gland

Nat Pernick, M.D.
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Cite this page: Pernick N. Inflammatory lesions of lacrimal gland and related structures. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/eyeinflammatorylesionslacrimal.html. Accessed August 15th, 2025.
Dacryoadenitis
  • Inflammation of lacrimal gland due to obstruction of lacrimal ducts by dacryoliths
Dacryocystitis / canaliculitis
  • Often obscure origin; may be due to inflammatory spread from nose or conjunctiva
  • Acute or chronic inflammation with suppurative, granulomatous or necrotizing features
  • Fistulous tracts may form to skin below eyelid near base of nose
  • Canaliculitis: inflammation of lacrimal duct
  • Dacryocystitis: inflammation of lacrimal sac
  • Acute: ducts filled with purulent exudate
  • Chronic: lacrimal canal narrows due to inflammatory thickening, epithelial hyperplasia
Dacryolithiasis
  • Stone (dacryolith) in lacrimal canal
  • Probably due to low grade inflammation, including mycoses (Arachnia propionica)
  • Laminated concretions in lacrimal sac
  • May contain degenerating epithelial cells and neutrophils, often fungi
Mikulicz disease
  • Mikulicz disease
    • Lymphocytic infiltration and formation of lymphoepithelial lesions
    • Most common cause of Mikulicz syndrome
  • Mikulicz syndrome
    • Chronic dacryoadenitis associated with enlargement of salivary glands
    • Causes include:
      • Mikulicz disease
      • Sarcoidosis
      • Tuberculosis
      • Syphilis
      • Mumps
      • Lymphoma
      • Leukemia
      • Graves disease
  • Sjögren syndrome
    • Usually postmenopausal women
    • Mikulicz disease, with failure of lacrimal and conjunctival secretions and keratoconjunctivitis sicca
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