Gupta Nidhi, Farooqui Javed Hussain, Agni Meghana, Kumar Abhishek, Sharma Mansi, Mathur Umang
Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India.
Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India.
J AAPOS. 2018 Jun;22(3):233-235. doi: 10.1016/j.jaapos.2017.11.003. Epub 2018 Feb 14.
We report the case of a 12-year-old boy who presented with a history of 4-5 years of severe bilateral photophobia, with exacerbation and increased ocular pain for 3-4 days. There were no systemic signs, and serology tests were negative; however, parents noted crying without tears since birth. Computerized tomography of the orbits revealed bilateral hypoplasia of lacrimal glands. A clinico-radiological correlation suggested a diagnosis of alacrima, a rare entity that should be considered in the differential diagnosis of severe pediatric dry eye, which is itself a commonly overlooked condition. In addition to artificial tears, permanent punctal occlusion with cautery provided symptomatic relief to the patient.
我们报告了一名12岁男孩的病例，他有4至5年的严重双侧畏光病史，在3至4天内病情加重且眼痛加剧。无全身症状，血清学检查为阴性；然而，父母注意到他自出生以来哭时无泪。眼眶计算机断层扫描显示双侧泪腺发育不全。临床与放射学相关性提示诊断为无泪症，这是一种罕见疾病，在小儿严重干眼症的鉴别诊断中应予以考虑，而小儿严重干眼症本身就是一种常被忽视的病症。除使用人工泪液外，烧灼法永久性泪点封闭为患者缓解了症状。
