title: Marsupialization for lacrimal ductular cysts (dacryops):  a case series.
abstract: OBJECTIVE
  To present the clinicopathological features and treatment outcomes of lacrimal ductular cysts managed with marsupialization.
  
  
  METHODS
  Retrospective case review of 13 patients presenting with lacrimal ductular cysts.
  
  
  RESULTS
  Thirteen patients were identified, of which 7 patients with full clinical data were included in the study, 4 female, 3 male, mean age 50 years. Their main presenting symptoms were superolateral orbital swelling, feeling of pressure on the eye, and lateral ptosis. Two patients had bilateral cysts, and the remaining 5 had unilateral cysts. Six patients required surgical marsupialization, and one patient was treated conservatively because of preexisting dry eye. At surgery, one patient had multiple dacryoliths within the cyst. Histopathological analysis of the cyst lining in 5 out of 7 patients showed bilayered cuboidal epithelium with fibrous tissue. None of the patients had dry eye symptoms or signs after surgery. Follow-up ranged from 10 months to 2 years, mean 20 months
  
  
  CONCLUSIONS
  Marsupialization is a safe and effective treatment for lacrimal ductular cysts.
authors.affiliation: Corneoplastic Unit, Queen Victoria Hospital, West Sussex, United Kingdom.
authors.forename: Aysha
authors.initials: A
authors.lastname: Salam
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Barrett
authors.forename: Raman
authors.initials: R
authors.lastname: Malhotra
authors.forename: Jane
authors.initials: J
authors.lastname: Olver
mesh_terms: D000328:Adult; D000368:Aged; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D012189:Retrospective Studies