Lacrimal gland prolapse

Introduction Lacrimal gland prolapse is rare, often bilateral, more common in women before the age of 25, often coexist with sputum skin relaxation, but the skin loosening after the lacrimal gland prolapse. The cause is unknown, and occasionally an autosomal dominant family. Lacrimal gland inflammation and excessive tearing cause lacrimal gland prolapse. Patients with lacrimal gland prolapse have a good surgical treatment. Lacrimal gland inflammation and excessive tearing cause lacrimal gland prolapse. The disease is easily overlooked. Can be divided into primary and secondary. The former is congenital lacrimal gland dislocation, which is common in women aged 14-24 years, may be related to heredity, the latter is more common in the elderly and those with loose eyelids. It can also occur in eyelid fractures caused by blunt eye.

Cause

The cause is unknown, and occasionally an autosomal dominant family. Lacrimal gland inflammation and excessive tearing cause lacrimal gland prolapse. The disease is easily overlooked. Can be divided into primary and secondary. The former is the congenital lacrimal gland dislocation, which is common in women aged 14-24 years and may be related to heredity. The latter is more common in the elderly and those with loose eyelids, which can also occur in eyelid fractures caused by blunt eye.

an examination

Related inspection

Tear secretion test

Clinical manifestations:

1. At first, the upper eyelids were red and swollen, the skin changed, and the skin was loose and wrinkled.

2. The upper side of the upper jaw is full and shows "swollen eye bubbles".

3. Mild sag, often covering the upper part of the cornea.

4. Under the skin of the upper jaw, it can be rubbed with a hard, almond-sized leaf and can move freely. It is easy to push back and re-set in the lacrimal gland, but it often comes out.

Diagnose based on:

1. The upper side of the upper jaw is full.

2. Soft and slack, covering the top of the cornea.

3. The upper side of the upper jaw can be licked and the almonds are hard and indurated. The activity can be re-defined in the lacrimal gland, but it is often prominent.

4. The operation of the surgical examination can help confirm the diagnosis.

Differential diagnosis

(1) fat prolapse: the true sputum fat prolapse that occurs in young people is less common, mainly refers to those who occur in the middle of the upper jaw. Due to the upper hole in the weak zone between the dome and the upper transverse ligament, the fat of the sputum is sag to the anterior surface of the tarsal plate with the septum. The fat color is pale and degraded for a long time, and the skin wrinkles have a concentric appearance. However, those who occur in the lower part of the lacrimal gland are not easy to distinguish from lacrimal gland prolapse. Except for trauma, it rarely occurs on the nasal side.

(2) lacrimal gland syndrome: belongs to Miculicz syndrome, is a chronic inflammatory disease of the lacrimal gland of unknown cause. A typical simple type is easier to diagnose. Those who occur in the youth are not easy to distinguish. Histopathological examination can confirm the diagnosis. Surgery can improve symptoms and confirm the diagnosis.

(3) chronic inflammation of the eyelid: allergic inflammation, some autoimmune diseases, a "swollen eye" appearance when attacked. Such cases can be tested with antibiotics plus corticosteroids. If the symptoms are relieved after administration, the patients who have stopped the drug can be diagnosed repeatedly. The tissue is taken for examination in the double sputum operation to confirm the diagnosis and provide a basis for future treatment.

(4) Ascher syndrome, in addition to eyelid relaxation, combined with swelling, hypertrophy and goiter in the upper lip mucosa.

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