- Inflammation of the lacrimal gland.
- May be caused by viral or bacterial infections or other inflammatory conditions such as sarcoidosis or thyroid orbitopahy.
- Symptoms: orbital discomfort, lid swelling, redness and discharge.
- Upper lid swelling, redness, warmth and tenderness to palpation
- Swollen palpebral lobe of the lacrimal gland can be easily visualized in the supratemporal fornix by everting the upper lid while having the patient looking down.
- May be present with globe displacement or proptosis if orbital lobe involved
- Culture and Gram staining of discharge, CBC, consider blood culture if systemic involvement is suspected.
- Orbital CT-scan if there is:
- Progressive proptosis
- Ocular movement restriction
- Malignancy suspected.
- Complete ophthalmic history and examination.
- Treat the underlying infection or inflammation.