Abstract
<h3>OUTLINE</h3> Literature History Clinical picture of acute dacryoadenitis Etiology of acute dacryoadenitis Gonorrheal dacryoadenitis Report of a case Clinical course Pathologic changes Conjunctival epithelium Submucosa Supporting tissue Excretory ducts Extralobular ducts Contributory Primary Dilated Intralobular ducts Parenchyma Blood vessels Bacteriologic observations Comment Comment Summary and conclusions <h3>I. LITERATURE</h3><h3>A. HISTORY</h3> Knowledge of disease of the lacrimal apparatus is recorded in the earliest medical literature. Hirsch 1 found reference to lacrimal disease in the Ebers Egyptian Papyrus of 1500 B. C. Schirmer<sup>2</sup>found seventy-three references to it between 1659 and 1800. Early nineteenth century writers on the subject include Schmidt<sup>3</sup>(1803), Beer<sup>4</sup>(1813) and Weller<sup>5</sup>(1821). Schmidt's treatise on the diseases of the lacrimal gland is an extensive work of value chiefly for its historical interest. He was the first to designate inflammation of the lacrimal gland as dacryoadenitis. Some of the etiologic factors named by him
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