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Lacrimal gland stones
Other Resources UpToDate PubMed

Lacrimal gland stones

Contributors: Deepak Sobti MD
Other Resources UpToDate PubMed

Synopsis

A rare cause of chronic unilateral conjunctivitis that presents with swelling in the lateral canthal region. These stones, known as dacryoliths, are found within the lacrimal gland itself, and excision of these results in resolution of symptoms. Often asymptomatic. Common signs and symptoms include eye discharge, eyelid edema, eye pain, photophobia, and conjunctival injection. Other symptoms include intermittent itching, eye redness, and epiphora, and rarely intermittent exophthalmos. May be caused by swelling, protein, and debris in the lacrimal gland, or bacterial / fungal infection in the lacrimal gland or in lacrimal pathways.

Management is usually excision using local anesthetic, rarely with complications.

Codes

ICD10CM:
H04.009 – Unspecified dacryoadenitis, unspecified lacrimal gland

SNOMEDCT:
86927009 – Dacryoadenitis

Differential Diagnosis & Pitfalls

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References

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Last Updated:02/29/2016
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Lacrimal gland stones
A medical illustration showing key findings of Lacrimal gland stones : Eye pain, Photophobia, Eyelid edema, Conjunctival injection, Excessive tearing, Eye discharge
Clinical image of Lacrimal gland stones - imageId=3520439. Click to open in gallery.  caption: 'White material at the lateral eye with associated periorbital edema and conjunctival injection.'
White material at the lateral eye with associated periorbital edema and conjunctival injection.
Copyright © 2024 VisualDx®. All rights reserved.