Accessory lacrimal gland duct cyst: 23 years of experience in the Saudi population.
OBJECTIVE
Accessory lacrimal gland ductal cyst is a rare clinical entity that has been reported after trauma, infection, or conjunctival inflammation. Trachoma has been postulated as an etiologic factor for this dacryops in Saudis. We studied the prevalence, demographics, clinicopathological features and surgical approach for these lesions.


METHODS
Retrospective study of 23 consecutive ductal cysts diagnosed clinically and proved histopathologically at King Khaled Eye Specialist Hospital (KKESH) over 23 years (1991-2014).


METHODS
Data on patient demographics, clinical features, surgery, and outcome were collected by chart review. The histopathologic slides were reviewed by a single pathologist.


RESULTS
Of 23 cases of accessory lacrimal gland ductal cysts confirmed histopathologically, 14 were males and 9 females with a median age of 38.8 years. Cysts were located in the upper eyelid in 73.9%. The commonest presentation was a painless eyelid mass in 91.3%. Excision by conjunctival incision was performed in 14 and intra-operative perforation occurred in 9. Trachomatous scarring was evident in 39.1% but did not have significance in relation to this rupture. No recurrences have been observed with a mean follow up of 34.6 months.


CONCLUSIONS
The approximate prevalence of accessory lacrimal gland dacryops in the Saudi population is 1/6800. Trachoma does not seem to be a major predisposing factor. They are more frequent in males. Their histopathological appearance is identical regardless of origin. The presence of conjunctival scarring, dacryops size, and the surgical incision type did not seem to have significant correlation with the iatrogenic rupture of the cyst. We recommend careful dissection for complete cyst excision through conjunctival approach with no expected recurrence.
Alicia
A
Galindo-Ferreiro
Dr. Hind Manaa Alkatan, Ophthalmology Department,, College of Medicine,, King Saud University,, PO Box 18097, Riyadh 11415,, Saudi Arabia, T: +966112052054, F: +966112052740, hindkatan@yahoo.com, hkatan@ksu.edu.sa.
Hind Manaa
HM
Alkatan
Yerena
Y
Muinos-Diaz
Patricia Mitiko
PM
Akaishi
Alberto
A
Galvez-Ruiz
Augusto Velasco
AV
Cruz
D000328:Adult; D003228:Conjunctiva / Q000601:surgery; D057112:Corneal Perforation / Q000209:etiology; D003560:Cysts / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology / Q000601:surgery; D007766:Lacrimal Apparatus Diseases / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D015995:Prevalence; D012189:Retrospective Studies; D012421:Rupture; D012529:Saudi Arabia / Q000453:epidemiology; D013997:Time Factors; D014141:Trachoma / Q000150:complications; D016896:Treatment Outcome