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Apparently congenital ectopic lacrimal gland secretion sites are not as uncommon as we believed.¹ In addition to similar cases described and reviewed by Dr Cogen,^2-3 we have been made aware of an unpublished case managed by a colleague. Although the case described by Drs Putterman and Shields⁴ was temporally associated with trauma, its resemblance suggests that the patient likely had a similar congenital defect.

With regard to cause, Dr Patrinely and colleagues⁵ suggested the possibility of choristoma. Since the time of publication of our article,¹ our patient returned requesting surgical correction. A ductule arising from the lacrimal gland was found and excised along the accompanying lashes. He remained asymptomatic without recurrence for more than 6 months. The cause of the cases described by Dr Cogen and Drs Putterman and Shields were similarly misdirected lacrimal gland ductules. Although we agree that it is reasonable to consider a choristoma in . . . [Full Text of this Article]

Timothy J. McCulley, MD
Stanford, Calif

RELATED ARTICLE

Lacrimal Gland Secretion Mimicking Epiphora
Martin S. Cogen
Arch Ophthalmol. 2004;122(5):791.
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