ECTOPIC LACRIMAL GLANDULAR TISSUE WITHIN THE EYEBALL
1961; BMJ; Volume: 45; Issue: 12 Linguagem: Inglês
10.1136/bjo.45.12.808
ISSN1468-2079
Autores Tópico(s)Ocular Surface and Contact Lens
ResumoFrom the Clinical Laboratories, Victoria Infirmary of Glasgow ALTHOUGH there are many small accessory lacrimal glands present in upper and lower eyelids, it is very uncommon for them to undergo adenomatous hyperplasia, and it is extremely rare for lacrimal glandular tissue to be found on or in the eyeball.An example of the second type of malformation is recorded in the present paper.It is the third case in which apparently normal lacrimal glandular tissue has formed a relatively large mass in the substance of the iris and ciliary body.Seven cases in which similar tissue occurred deep to the conjunctiva are also reviewed briefly.Case Report A female infant was first seen at the age of 2 months.The parents had noticed that the left eye had been abnormal since birth.Examination.-Apink, nodular, fleshy tumour was present in the anterior chamber of the left eye and occupied most of the upper nasal quadrant.It appeared to arise from the ciliary body.The appearance of the left optic fundus was normal.There was no increase in the size of the tumour over the ensuing 6 months.Diagnoses considered were leio- myoma of iris, neurofibroma, and diktyoma (medullo-epithelioma), but no firm conclusion was reached before operation.The appearances of the tumour just before it was excised are shown in Fig. 1.FiG. 1.-Clinical appearance of left eye immediately before local re- moval of lesion of iris and ciliary body.
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