Chronic Dacryoadenitis

Etiology: The chronic form of inflammation of the lacrimal gland may be the result of an incompletely healed acute dacryoadenitis. Diseases such as tuberculosis, sarcoidosis, leukemia, or lymphogranulomatosis can be causes of chronic dacryoadenitis.

Bilateral chronic inflammation of the lacrimal and salivary glands is referred to as Mikulicz's syndrome.

Symptoms and diagnostic considerations: Usually there is no pain. The symptoms are less pronounced than in the acute form. However, the S-curve deformity of the palpebral fissure resulting from swelling of the lacrimal gland is readily apparent (see Fig. 3.12).

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