Abstract
Dacryoadenitis may be infectious or non-infectious in etiology (non-specific orbital inflammation of the lacrimal gland ), present in a similar fashion and may be difficult to distinguish from one another in the early phase. Dacryocystitis commonly presents with tearing, redness, swelling and a tender mass over the nasolacrimal crest area and generally has a well-recognized clinical presentation. Intermittent episodes of tearing that may be very severe at times secondary to dacryocystic retention and/or a dacryolith may be more difficult to recognize. Canaliculitis often presents with recurrent discharge despite multiple antibiotic drops. A “pouting punctum” and expression of canaliculiths helps confirm the clinical diagnosis. This chapter will review each entity and provide clinical clues to help diagnose each more readily
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsSuggested Readings
Rootman J, Robertson W, Lapoint JS. Orbital inflammatory diseases. In: Rootman J, editor. Diseases of the orbit: a multidisciplinary approach, chapt 12. Philadelphia: Lippincott; 2003. pp 455–459.
Goold LA, Madge SN, Au A, et al. Acute suppurative bacterial dacryoadenitis: a case series. Br J Ophthalmol. 2013;97(6):735–8.
Lacrimal gland tumor study group. An epidemiological survey of lacrimal fossa lesions in Japan: number of patients and their sex ratio by pathological diagnosis. Jpn J Ophthalmol. 2005;49(5):343–8.
Mawn LA, Sanon A, Conlan MR, et al. Pseudomonas dacryoadenitis secondary to a lacrimal ductile stone. Ophthal Plas Reconstr Surg. 1997;13:135–8.
Tomita M, Shimmura S, Tsubota K, et al. Dacryoadenitis associated with acanthamoeba keratitis. Arch Ophthalmol. 2006;124:1239–42.
Toledano N, Tit-Liviu Stoica B, Genol Saavedra I, et al. Tuberculous dacryoadenitis unveils HIV infection. Can J Ophthalmol. 2013;48(5):128–30.
Nieto JC, Kim N, Lucarelli MJ. Dacryoadenitis and orbital myositis associated with Lyme disease. Arch Ophthalmol. 2008;126(8):1165–6.
Mombaerts I. Non-infectious orbital inflammation. In: Fay A, Dolman PJ, editors. Diseases and disorders of the orbit and ocular adnexa, chapt 11. Elsevier; 2017. pp 185–217.
Lu W, Rootman DB, Berry JL, et al. Methicillin resistant Staphyloccous aureus dacryoadenitis. JAMA Ophthalmol. 2014;132(8):993–5.
Ostri C, Heegaurd S, Prause JU. Sclerosing Wegener’s Granulomatosis in the orbit. Acta Ophthalmol. 2008;86(8):917–20.
Rootman J, McCarthy M, White V, et al. Idiopathic sclerosing inflammation of the orbit. A distinct clinicopathologic entity. Ophthalmology. 1994;101(3):570–84.
Kiratli H, Sekerogly MA, Soylemezoglu F. Unilateral dacryoadenitis as the sole presenting sign of Wegener’s Granulomatosis. Orbit. 2008;86(8):917–20.
Soheilian M, Bagheri A, Aletaha M. Dacryoadenitis as the earliest presenting manifestation of systemic Wegener’s Granulomatosis. Eur J Ophthalmol. 2002;12(3):241–3.
Liu C-H, Ma L, Ku W-J, et al. Ilateral idiopathic sclerosing inflammation of the orbit: report of 3 cases. Chang Gung Med J. 2004;27(10):758–65.
McNab AA. Orbital inflammation in Churg-Strauss syndrome. Orbit. 1998;17(3):203–5.
Berry-Brincat A, Rose GE. Idiopathic orbital inflammation:a new dimension with the discovery of immunoglobulin G4-related disease. Curr Opinion Ophthalmol. 2012;23(5):415–9.
Pimpha O, Vahdani K, Kim D. Bilateral idiopathic dacryoadenitis associated with bony erosions mimicking lacrimal gland malignancy. Can J Ophthalmol. 2018;53:e83–4.
Shinder R, Nasser QJ, Brejt S, Guttman J, et al. Idiopathic inflammation of the orbit and contiguous structures. Ophthal Plast Reconstr Surg. 2012;28:e82–5.
Tang Sx, Lim RP, Al-Dahmash S et al. Bilateral lacrimal gland disease: clinical features of 97 cases. Ophthalmology. 2014;121(10):2040–2046.
Won SJ, Kook JA, Mi Rp et al. The radiological spectrum of orbital pathologies that involved the lacrimal gland and the lacrimal fossa. Korean J Radiol. 2007;8(4):336–342.
Jakobiec FA. Ocular adnexal lymphoid tumors: progress in need of clarification. Am J Ophthalmol. 2008;145(6):941–50.
Jakobiec FA, Rashid A, Lane KA, et al. Granulomatous dacryoadenitis in regional enteritis (Crohn Disease). Am J Ophthalmol. 2014;158:838–44.
Notz G, Intili A, Bilyk JR. IgG4-related dacryoadenitis in a 13 year old girl. Ophthal Plast Reconstr Surg. 2014;30(6):e161–3.
Mombaerts I, Douglas Cameron J, Chanlalit W, et al. Surgical debulking for idiopathic dacryoadenitis. Ophthalmol. 2014;121:603–9.
Mombaerts I, Schlingemann RO, Goldschmeding R, et al. Are systemic steroids useful in management of orbital pseudotumors? Ophthalmol. 1996;103:521–8.
Leibovitch I, Prabhakaran VC, Davis G, et al. Intraorbital injection of Triamcinolone acetonide in patients with idiopathic orbital inflammation. Arch Ophthalmol. 2007;125:1647–51.
Smith JR, Rosenbaum JT. A role for methotrexate in the management of non-infectious orbital inflammatory disease. Br J Ophthalmol. 2001;85:1220–4.
Garrity JA, Matteson EL. Biologic response modifiers for ophthalmologists. Ophthal Plast Reconstr Surg. 2008;24(5):345–7.
Miquel T, Abad S, Badelon I, et al. Successful treatment of idiopathic orbital inflammation with infliximab: an alternative to conventional steroid-sparing agents. Ophthal Plast Reconstr Surg. 2008;24(5):415–6.
Shekunov J, Griepentrog GJ, Diehl NN, et al. Prevalence and clinical characteristics of congenital dacryocystocele. JAAPOS. 2010;14(41):417–20.
Helper KM, Woodson GE, Kearns DR. Respiratory distress in the neonate. Sequela of a congenital dacrycystocele. Arch Otolaryngol Head Neck Surg. 1995;12:1423–5.
Bernadini FP, Cetinkaya A, Capris P, et al. Orbital and periorbital extension of congenital dacryocystoceles: suggested mechanism and management. Ophthal Plast Reconstr Surg. 2014;31(3):249–50.
Chung SY, Rufailov L, Turbin RE, Langer PD. The microbiologic profile of dacryocystitis. Orbit. 2018; 11:1–7. https://doi.org/10.1080/01676830.2018.1466901. (Epub ahead of print).
Becker BB. The treatment of congenital dacryocystocele. Am J Ophthalmol. 2006;142:835–8.
Dhillon N, Kreis AJ, Maadge SN. Dacryolith induced acute dacryocystitis: a reversible cause of nasolacrimal duct obstruction. Orbit. 2014;33(3):199–201.
Hawes MJ. The dacryolithiasis syndrome. Ophthal Plast Reconstr Surg. 1988;4(2):87–90.
Mishra K, Hu KY, Kaamal s, Andron et al. Dacryolithiasis: a review. Ophthal Plast Reconstr Surg. 2017;33:83–89.
Salam A, Williams CPR, Manners RM. Expulsion of a lacrimal dacryolith by sneezing: a rare event. Eur J Ophthlmol. 2006;16(1):161–3.
Kay-Wilson LG. Spontaneous passage of a dacryolith. Br J Ophtalmol. 1991;75:564.
McGrath LA, Satchi K, McNab A. Recognition and management of acute dacryocystic retention. Ophthal Plast Reconstr Surg. 2018;34:333–5.
Smith B, Tenzel RR, Buffam FV, et al. Acute dacryocystic retention. Arch Ophthal. 1976;94:1903–4.
Gonnering RS, Bosniak SL. Recognition and management of acute noninfectious dacryocystic retention. Ophthal Plast Reconstr Surg. 1989;5:27–33.
Linberg J. Primary acquired nasolacrimal duct obstruction. A clinicopathologic report biopsy technique. Ophthalmology. 1986;93:1055.
Eshraghi B, Abdi P, Akbari M, et al. Microbiologic spectrum of acute and chronic dacryocystitis. Int J Ophthalmol. 2014;7(5):864–7.
Maheshwari R, Maheshwari S, Shah T. Acute dacryocystitis causing orbital cellulitis and abscess. Orbit. 2009;28:196–9.
Wladis EJ, Shinder R, LeFebvre DR, Sokol JA, et al. Clinical and microbiologic features of dacryocystitis-related orbital cellulitis. Orbit. 2016;35(5):258–61.
Kikkawa DO, Heinz GW, Martin RT, et al. Orbital cellulitis and abscess secondary to dacryocystitis. Ophthamol Surg Lasers. 1997;31:201–2.
Lowry EA, Kalin-Hajdu E, Kersten RC, Vagefi MR. Acute vision loss from dacryocystitis. JAMA Ophthalmol. 2018;136(10):1207–8.
Kalin Hajdu E, Cadet N, Boulos PR. Controversies of the lacrimal system. Surv Ophthalmol. 2016;61(3):309–13.
Scully RE. Case records of the Massachusetts General Hospital. N Engl J Med. 1983;309:1171–4.
Freedman JR, Markert MS, Cohen AJ. Promary and secondary lacrimal canliculitis: a review of the literature. Surv Ophthalmol. 2011;56:336–47.
Kaliki S, Javed Ali M, Honnavar SG, et al. Primary canaliculitis:clinical features, microbiologic profile and management outcomes. Ophthal Plast Reconstr Surg. 2012;28(5):355–60.
Dolman P. Infections of the orbit and ocular adnexa. In: Fay A, Dolman PJ, editors. Diseases and disorders of the orbit and ocular adnexa, chapter 10. Elsevier; 2017. pp 173–74.
SmartPlug Study Group. Management of complications after insertion of the SmartPlug punctal plug: a study of 28 patients. Ophthalmology. 2006;113:1859–62.
Gogandy M, Al Sheik O, Chaudry I. Clinical features and bacteriology of lacrimal canaliculitis in patients presenting to a tertiary eye care center in Middle East. Saudi J Ophthalmol. 2014;28:31–5.
Park A, Morgenstern KE, Kahwash SB, et al. Pediatric canaliculitis and stone formation. Ophthal Plast Reconstr Surg. 2004;20(3):243–6.
Jordan DR, Agapitos PJ, McCunn D. Eikinella corrodens canaliculitis. Am J Ophthalmol. 1993;115(6):823–4.
Moscata EE, Sires BB. Atypical canaliculitis. Ophthal Plast Reconstr Surg. 2008;24(1):54–5.
Anand S, Hollingworth K, Kumar V, et al. Canaliculitis: the incidence of long-term epiphora following canaliculotomy. Orbit. 2004;23(1):19–26.
Jones DB, Robinson NM. Anaerobic ocular infections. Trans Am Acad Ophthalmol Otolaryngol. 1977;83:309–12.
Mohan ER, Kabra S, Uday P, et al. Intracanalicular antibiotics may obviate the need for surgical management of chronic suppurative canaliculitis. Indian J Ophthalmol. 2008;56:338–40.
Jin X, Zhao Y, Tong N, et al. Use of Crawford tube for chronic suppurative lacrimal canaliculitis. Ophthal Plast Reconstr Surg. 2014;30:229–32.
Perumal B, Meyer DR. Vertical canaliculotomy with retrograde expression of concretions for the treatment of canaliculitis. Ophthal Plast Reconstr Surg. 2014;31(2):119–21.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Jordan, D.R., Stoica, B. (2020). Dacryoadenitis, Dacryocystitis, and Canaliculitis. In: El Toukhy, E. (eds) Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-36934-7_25
Download citation
DOI: https://doi.org/10.1007/978-3-030-36934-7_25
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-36933-0
Online ISBN: 978-3-030-36934-7
eBook Packages: MedicineMedicine (R0)