Gugutschkova P, Angelov B
Universitäts-Augenklinik Sofia, Bulgarien.
Klin Monbl Augenheilkd. 1995 Jul;207(1):54-5. doi: 10.1055/s-2008-1035351.
A 68-year-old woman presented with massive congestion of lymphatic vessels of temporal inferior conjunctiva two months after extirpation of the parotic gland for an aciniform epithelioma on the same side. Clinical findings of the right and left eye were unremarkable otherwise. The congestion resolved spontaneously.
Patent Blue 2.5% was injected into the subconjunctiva in 5 mm distance of the limbus. The superior conjunctiva revealed a normal circular pattern of lymphatic vessels. In the temporal inferior conjunctiva massively congested lymphtic vessels could be demonstrated. This area is normally drained by the regional lymphnodes now interrupted by the surgery.
The individual anatomy of the lymphatic vessels may be of significance also in filtering surgery. Especially radial conjunctival cuts may interrupt the lymphatic vessels. The regional lymphatic drainage from the temporal inferior conjunctiva is blocked by massive surgery of the parotic gland.
一名68岁女性，因同侧腮腺腺泡状上皮瘤行腮腺切除术后两个月，出现颞下结膜淋巴管大量充血。双眼其他临床检查结果无异常。充血自行消退。
在角膜缘5毫米处的结膜下注射2.5%的专利蓝。上结膜淋巴管呈正常圆形分布。颞下结膜可见大量充血的淋巴管。该区域通常由区域淋巴结引流，现因手术而中断。
淋巴管的个体解剖结构在滤过性手术中也可能具有重要意义。尤其是结膜放射状切口可能会中断淋巴管。腮腺的大规模手术会阻断颞下结膜的区域淋巴引流。
