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Definition Return to top
Dacryoadenitis is an inflammation of the tear-producing gland (lacrimal gland).
Causes Return to top
Acute dacryoadenitis is most commonly due to viral or bacterial infection. Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus.
Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders. Examples include sarcoidosis, thyroid eye disease, and orbital pseudotumor.
Symptoms Return to top
Exams and Tests Return to top
Dacryoadenitis can be diagnosed by examination of the eyes and lids. Special tests such as a CT scan may be required to search for the cause. Sometimes biopsy will be needed to be sure that a tumor of the lacrimal gland is not present.
Treatment Return to top
If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed. For other causes, the treatment is specific to the causative disease.
Outlook (Prognosis) Return to top
Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the prognosis is that of the underlying condition.
Possible Complications Return to top
Swelling may be severe enough to put pressure on the eye and distort vision. Some patients first thought to have dacryoadenitis may turn out to have a malignancy of the lacrimal gland.
When to Contact a Medical Professional Return to top
Call your health care provider if swelling or pain increase despite treatment.
Prevention Return to top
Mumps can be prevented by immunization. Infection with gonococcus, the bacteria causing gonorrhea, can be avoided by the use of condoms. Most other causes cannot be prevented.Update Date: 8/22/2008 Updated by: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.