Acute inflammation of the lacrimal gland is a rare disorder characterized by intense inflammation and extreme tenderness to palpation.
Etiology: The disorder is often attributable to pneumococci and staphylo-cocci, and less frequently to streptococci. There may be a relationship between the disorder and infectious diseases such as mumps, measles, scarlet fever, diphtheria, and influenza.
Symptoms and diagnostic considerations: Acute dacryoadenitis usually occurs unilaterally. The inflamed swollen gland is especially tender to palpation.
H The upper eyelid exhibits a characteristic S-curve (Fig. 3.12). Differential diagnosis:
❖ Internal hordeolum (smaller and circumscribed).
❖ Eyelid abscess (fluctuation).
❖ Orbital cellulitis (usually associated with reduced motility of the eyeball).
Treatment: This will depend on the underlying disorder. Moist heat, disinfectant compresses (Rivanol), and local antibiotics are helpful.
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.
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