Abstract

SO.19.11

Involvement of Wolfring’s accessory lacrimal glands in chronical inflammation of conjunctiva

Holak H.¹, Holak N.¹, Reinecke-Lüthge A.³, Zienkiewicz T.⁴, Szymaniec S.⁵, Holak S. A.^2
1Augenpraxis-Klinik im Rudolf-Virchow-Ärztehaus, Salzgitter; ²Augenabteilung der Schlosspark-Klinik, Berlin; ³Institut für klinische Pathologie, Klinikum Wolfsburg; ⁴Institute of Immunology, Polish Academy of Science, Wroclaw; ⁵Gemeinschaftspraxis für Pathologie, Braunschweig

Objective: Tissue of the lacrimal gland is located in the orbital region also in the conjunctiva, and may be found ectopically. It can exhibit similar pathologies to those of normal lacrimal gland tissue.
Methods: Pathologies of the accessory lacrimal glands in three patients are described retrospectively. In three patients, histological and immunohistochemical surgiclly removed tissue was analysed with markers of plasma cells (CD138 and Vs38C). Immunoglobulins from the cysts were also measured.
Results: Histology showed chronic dacryoadenitis of accessory lacrimal glands with lymphoplasmacellular infiltrates in the stroma in the three analysed patients. Immunohistochemistry showed high values of plasma cells in the area of the lacrimal gland tissue. Stromal scarring with epihtelial metaplasia and the lobular surface resembled tumors.
Conclusions: Chronic hypertrophic conjunctivitis is connected with dacryoadenitis of accessory lacrimal glands.

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