Abstract
BackgroundPyogenic lacrimal gland abscesses are uncommon and thus may not be immediately clinically recognized without a high index of suspicion.FindingsWe present two patients with preseptal cellulitis and characteristic low-attenuation fluid collections in the lacrimal glands demonstrated on computed tomography (CT).ConclusionsLacrimal gland abscesses should be considered when dacryoadenitis is refractory to medical treatment. Indeed, these cases highlight the value of prompt recognition of lacrimal abscess through ophthalmologic referral and the use of diagnostic imaging. Both patients were successfully treated via incision and drainage.
Highlights
Pyogenic lacrimal gland abscesses are uncommon and may not be immediately clinically recognized without a high index of suspicion
Lacrimal gland bacterial abscesses are uncommon and may arise in the setting of acute dacryoadenitis, which may in turn develop secondary to an adjacent infection, such as rhinosinusitis, from hematogenous spread of bacteremia or after trauma [1, 2]
We present two patients with lacrimal gland abscess presenting with preseptal cellulitis depicted on computed tomography (CT)
Summary
Pyogenic lacrimal gland abscesses are uncommon and may not be immediately clinically recognized without a high index of suspicion. We present two patients with lacrimal gland abscess presenting with preseptal cellulitis depicted on computed tomography (CT). The patient is a 2-year-old male who presented with 8 days of right eyelid swelling.
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