Dacryoadenitis

Question 1

Aetiology:

Answer 1

Inflammation of the lacrimal gland
May be caused by viral or bacterial infection or systemic inflammatory conditions as sarcoidosis, mumps, glandular fever.
Rarely malignancy of the lacrimal gland
Usually self-limiting

Question 2

Predisposing factors:

Answer 2

Uncommon
M = F
No age predilection

Question 3

Differential diagnosis:

Answer 3

Preseptal cellulitis
Orbital cellulitis

Question 4

Signs:

Answer 4

Swelling around lacrimal gland (superior temporal)
Red skin on the lid
Serous or mucopurulent discharge
Ptosis of the lid due to swollen tissue

Question 5

Symptoms:

Answer 5

Tender / painful at site of the swelling (upper temporal lid)
Excessive tearing + discharge
Acute onset or chronic depending on cause

Question 6

Management by CLO:

Answer 6

Cease CL wear
Acute onset for adults - monitor for self resolution
Chronic case to be referred to
Referral by emergency - differential diagnosis could be cellulitis
Same day referral for children