A stone in the lacrimal gland: a case report and literature review

ABSTRACT

A 59-year-old man presented with recurrent localized redness of the right eye for 3 months duration despite topical antibiotic and steroid administration. Examination revealed focal conjunctival injection in the temporal region and a palpable right lacrimal gland. During incisional biopsy, a small, white, hard mass was noted within the lacrimal gland, which was surgically removed. Histopathological examination revealed a lacrimal gland ductule stone. The conjunctival injection resolved immediately after surgery. A thorough review of literature was done, which yielded 19 cases of lacrimal gland stones reported in modern literature and these cases were reviewed.

KEYWORDS:

• Dacryolith
• ductule
• lacrimal gland
• stones

Acknowledgment

The authors wish to acknowledge Dr Akari Iwakoshi at Department of Surgical Pathology, Aichi Medical University Hospital, for her assistance in the interpretation of pathological findings.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.