Sung Chul Kim1, Kook Lee2, Sang Un Lee3. 1. HanGil Eye Hospital, Incheon. Electronic address: hapto@daum.net. 2. Department of Ophthalmology and Visual Science, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Republic of Korea. 3. HanGil Eye Hospital, Incheon.
Abstract
OBJECTIVE: To report 3 cases of lacrimal gland duct stones misdiagnosed as chalazion. DESIGN: Retrospective case series. PARTICIPANTS: Three patients with lacrimal gland duct stones misdiagnosed as chalazion at a local clinic between 2010 and 2012. METHODS: A thorough review of clinical, imaging, and histopathologic manifestations. RESULTS: Clinical manifestations of lacrimal gland duct stones included conjunctival injection, lid swelling, tenderness, and ocular discharge, which are similar to chalazion symptoms. Computed tomography revealed a relatively well-defined, high-density mass near the lacrimal gland. Histopathologic examination of excised material revealed calcified amorphous stones. CONCLUSIONS: Intractable chalazion-like lesions at the lateral canthal area near the lacrimal gland should be carefully examined; imaging studies are required to confirm the presence of lacrimal gland duct stones, which require surgical removal. Crown
OBJECTIVE: To report 3 cases of lacrimal gland duct stones misdiagnosed as chalazion. DESIGN: Retrospective case series. PARTICIPANTS: Three patients with lacrimal gland duct stones misdiagnosed as chalazion at a local clinic between 2010 and 2012. METHODS: A thorough review of clinical, imaging, and histopathologic manifestations. RESULTS: Clinical manifestations of lacrimal gland duct stones included conjunctival injection, lid swelling, tenderness, and ocular discharge, which are similar to chalazion symptoms. Computed tomography revealed a relatively well-defined, high-density mass near the lacrimal gland. Histopathologic examination of excised material revealed calcified amorphous stones. CONCLUSIONS: Intractable chalazion-like lesions at the lateral canthal area near the lacrimal gland should be carefully examined; imaging studies are required to confirm the presence of lacrimal gland duct stones, which require surgical removal. Crown