Servicio de Oftalmología, Hospital Marina Baixa, Villajoyosa, Alicante, España.
Servicio de Reumatología, Hospital Marina Baixa, Villajoyosa, Alicante, España.
Arch Soc Esp Oftalmol (Engl Ed). 2021 Jan;96(1):48-51. doi: 10.1016/j.oftal.2020.05.027. Epub 2020 Jun 27.
The purpose of this report is to describe a case of a unilateral congenital absence of the lacrimal gland in a 7-year-old girl with ocular symptoms, no tear production and a conjunctival tumour at the supero-external angle of the right eye. The visual acuity was 20/20 in both the eyes. The right eye showed mucous secretion, corneal erosions and filaments. Anamnesis, physical examination and clinical tests ruled out systemic diseases associated with congenital alacrima, as well as rheumatic, immunological and infectious diseases. Nuclear magnetic resonance, with various fat suppression techniques, demonstrated the absence of the right lacrimal gland and the presence of a tumour compatible with lipoma. This case, to our knowledge, is the first report of unilateral absence of the lacrimal gland combined with lipoma.
本报告的目的是描述一例 7 岁女孩单侧先天性泪腺缺失的病例，该患者右眼出现眼部症状、无泪液分泌和结膜外上象限肿瘤。双眼视力均为 20/20。右眼出现黏液分泌物、角膜糜烂和丝状物。病史、体格检查和临床检查排除了与先天性无泪相关的系统性疾病，以及风湿性、免疫性和传染性疾病。磁共振成像（MRI），结合各种脂肪抑制技术，显示右侧泪腺缺失和存在与脂肪瘤一致的肿瘤。据我们所知，本例是首例单侧泪腺缺失合并脂肪瘤的报告。
