Congenital aberrant lacrimal gland ductules presenting as a non-healing upper eyelid lesion.
Authors: Kevin Hodgson, André S. Pollmann, Kathryn McFadden, Ahsen Hussain.
Author Disclosure Block: K. Hodgson: None. A.S. Pollmann: None. K. McFadden: None. A. Hussain:
Purpose: To present the clinical signs, diagnosis, treatment, and follow-up of a patient with a novel presentation of aberrant lacrimal gland ductules.
Study Design: Descriptive observational study and chart review of individual patient.
Methods: Relevant literature was reviewed and the individual patient's records were reviewed for a full description of the case in parallel with direct observation.
Results: A 2-year-old girl presented with a history of a recurrent painless red and swollen lesion on the right upper eyelid. Examination demonstrated an 8.0 mm erythematous papule with overlying crusting skin in the lateral aspect of the right upper eyelid. Probing under general anesthesia revealed openings in the right temporal brow region and upper eyelid that led to aberrant ductules travelling toward the lacrimal gland. The temporal ductule was surgically excised, whilst the eyelid ductule was redirected to the fornix.
Conclusions: The first such report of congenital aberrant lacrimal ductules in this distribution and location. The recurrent inflammatory presentation also highlights important sequelae to consider in these cases.