Article Figures & Data
Figures
- fig 1.
4-year-old boy with right lower lid bulge.
A and B, Axial (A) and coronal (B) unenhanced CT scans of the orbits show a well-defined water-density rounded lesion compatible with a cyst in the orbital floor abutting the inferior aspect of the globe and in continuity with the mid aspect of the lower eyelid (arrows, A). A pathologic specimen confirmed a simple ductal cyst of the accessory lacrimal glands.
- fig 2.
37-year-old woman with right upper lid lesion of 1 year's duration, located mainly in its medial aspect.
A, Axial CT scan of the superior aspect of the orbits reveals a cystic lesion of the right upper eyelid, inseparable from the anterior aspect of the globe. Histopathologic findings (see B and C) were consistent with a benign ductal cyst of the accessory lacrimal glands. The cyst probably arose from the glands of Wolfring.
B, Low-power view shows a collapsed cyst with patches of chronic inflammatory cells (arrowheads) and a few glands (arrow) in its wall (H and E, original magnification ×30).
C, High-power view of the cyst lining shows a double cell layer, confirming the ductal origin of the cyst. Cytoplasmic apical microvillous processes (arrowheads) from many of the luminal cells are noted, consistent with decapitation secretion. Occasional goblet cells are also seen (arrow) (H and E, original magnification ×400).
- fig 3.
Drawing (sagittal view) of the upper eyelid and fornix shows the location of the accessory lacrimal glands of Wolfring and Krause. The former are close to the tarsus, while the latter are located at the fornix. The ciliary glands (of Zeis and Moll), and the tarsal Meibomian glands are also illustrated
