Downward extension of the lacrimal gland under the bulbar conjunctiva after trabeculectomy

Citation
C. Kambara et al., Downward extension of the lacrimal gland under the bulbar conjunctiva after trabeculectomy, J GLAUCOMA, 10(4), 2001, pp. 358-360
Citations number
4
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Optalmology
Journal title
JOURNAL OF GLAUCOMA
ISSN journal
1057-0829 → ACNP
Volume
10
Issue
4
Year of publication
2001
Pages
358 - 360
Database
ISI
SICI code
1057-0829(200108)10:4<358:DEOTLG>2.0.ZU;2-E
Abstract
Purpose: To describe two cases in which the lacrimal gland was considered t o extend downward under the bulbar conjuctiva following trabeculectomy. Patients and Methods: We report two patients who complained of epiphora. af ter trabeculectomy. A biopsy was performed on the tissue under the bulbar c onjunctiva on the periphery of the bleb of case 1. The anatomical relations hip between the holes and the avascular filtering bleb in case 2 was invest igated using ultrasound biomicroscopy. Results: In case 1, a biopsy showed the lacrimal gland tissue filtrated wit h mononuclear cells. In case 2, ultrasound biomicroscopy revealed no connec tion between the multiple leaking holes and localized filtering bleb. Conclusion: Following trabeculectomy at the superior temporal quadrant, we should consider downward extension of the lacrimal gland as a possible sour ce of a patient's complaint of epiphora.