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Abstract #15489 Published in IGR 1-3
Benign pleomorphic adenoma arising from the palpebral lobe of the lacrimal gland associated with elevated intraocular pressure
Yamada T; Kato T; Hayasaka S; Hayasaka Y; Kadoi COphthalmologica 1999; 213: 269-272
A 46-year-old patient complained of a painless mass in the left upper eyelid. At age 51 years, he complained of dull pain in the left eye and diplopia. His left intraocular pressure had increased to 33 mmHg. No proptosis was noted. The non-tender mass in the eyelid was palpable. Computed tomography showed a mass anterior to the orbital rim compressing the globe. The lesion was removed en bloc by a transconjunctival approach. Histopathological examination of the excised mass showed myxomatous stroma and highly cellular epithelial areas. Postoperatively, the left intraocular pressure normalized. To the authors' knowledge, benign pleomorphic adenomas arising from the palpebral lobe of the lacrimal gland associated with elevated intraocular pressure, as demonstrated in this patient, are rare.
Dr. T. Yamada, Division of Ophthalmology, Asahi General Hospital, Asahi; Japan
Classification:
9.4.20 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)