Schittkowski Michael P, Storch Marcus W
Klin Monbl Augenheilkd. 2020 May;237(5):703-723. doi: 10.1055/a-1068-7699. Epub 2020 Feb 3.
Tear gland diseases are comparatively rare in daily ophthalmological practice. The aim of this article is on the one hand to present the necessary basic knowledge and on the other hand to draw a bow to important current publications on the subject in order to provide the reader with sufficient knowledge for daily practice after reading it.Inflammatory (acute and chronic specific dacryoadenitis, idiopathic dacryoadenitis), neoplastic (epithelial and nonepithelial) and structural (cysts etc.) are presented.Diagnostically, the importance of (open) biopsy has increased again in recent years. Only the pleomorphic adenoma of the lacrimal gland has to be removed in-toto in order to avoid a recurrence or malignant degeneration which is difficult to control curatively. Differential diagnostic aids are explained in detail.
泪腺疾病在日常眼科实践中相对少见。本文的目的一方面是介绍必要的基础知识，另一方面概述该主题当前的重要出版物，以便读者阅读后能获得足够的日常实践知识。文中介绍了炎症性（急性和慢性特异性泪腺炎、特发性泪腺炎）、肿瘤性（上皮性和非上皮性）以及结构性（囊肿等）泪腺疾病。近年来，（开放性）活检在诊断中的重要性再次提高。只有泪腺多形性腺瘤必须完整切除，以避免复发或难以根治性控制的恶性变。文中详细解释了鉴别诊断方法。
