Wolfring dacryops and needling.

Cysts of the accessory lacrimal gland of Wolfring are uncommon in Europe; they are commoner in areas where trachoma is endemic and usually occur in eyes with some evidence of past trachomatous scarring (Bullock et al. 1986). The recommended mode of management is surgical, using an operating microscope, with an incision through the conjunctiva. Simple aspiration is inappropriate since the cyst refills. We describe a case of dacryops of the glands of Wolfring in a Caucasian male with no evidence of previous trachoma. This was managed with simple needling of the cyst. There was no recurrence of the cyst at 2 years follow-up.