{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:01:52Z","timestamp":1755216112318,"version":"3.43.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>Herein, the authors report a case of lacrimal gland ductal cyst infection presenting as acute orbital cellulitis with an abscess. A 45-year-old man without any history of trauma and a specific medical history presented with progressive painful periorbital swelling in the left eye and diplopia. At the first visit, the patient showed a best-corrected visual acuity of 0.2; erythematous swelling of the upper eyelid; superficial punctate keratitis, severe conjunctival chemosis in the left eye; and pus in the lateral canthal area. The patient had binocular diplopia and left eyeball movement limitation. Orbital computed tomography showed a peripherally enhanced periorbital soft tissue mass along the superotemporal aspect of the left globe, which was suggestive of an abscess. The authors diagnosed the patient with acute orbital cellulitis with an abscess. Intravenous antibiotics and steroids and topical antibiotics and steroids were administered. On the 4th day of the treatment, visual acuity and eyeball movement limitation had improved, and a small opening of the lacrimal gland duct was observed in the left upper conjunctival fornix. Methicillin-resistant <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic> was identified on culture. Finally, the patient was diagnosed with lacrimal gland ductal cyst infection presenting as acute orbital cellulitis. Lacrimal duct cyst infection should be considered as a cause of orbital cellulitis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/scs.0000000000007239","type":"journal-article","created":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T07:13:11Z","timestamp":1605769991000},"page":"e429-e432","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Lacrimal Gland Ductal Cyst Infection Presenting as Acute Orbital Cellulitis With Abscess"],"prefix":"10.1097","volume":"32","author":[{"given":"Hyung Jun","family":"Park","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Jin","family":"Park","sequence":"additional","affiliation":[{"name":"St. Mary Eye Center, Chungju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mijung","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,11,17]]},"reference":[{"key":"R1-20250803","first-page":"638","article-title":"The ocular adnexa: lacrimal orbital and para-orbital disease","volume":"13","author":"Duke","year":"1974","journal-title":"Syst Ophthalmol"},{"key":"R2-20250803","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.ophtha.2003.01.002","article-title":"Survey of 1264 patients with orbital tumors and simulating lesions","volume":"111","author":"Shields","year":"2004","journal-title":"Ophthalmology"},{"key":"R3-20250803","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1016\/S0161-6420(86)33566-8","article-title":"Lacrimal Ductal Cysts","volume":"93","author":"Bullock","year":"1986","journal-title":"Ophthalmology"},{"key":"R4-20250803","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/00002341-200103000-00011","article-title":"Lacrimal gland ductal cyst abscess","volume":"17","author":"Eifrig","year":"2001","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R5-20250803","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1136\/bjo.70.4.241","article-title":"Lacrimal streams: the demonstration of human lacrimal fluid secretion and the lacrimal ductules","volume":"70","author":"Bron","year":"1986","journal-title":"Br J Ophthalmol"},{"key":"R6-20250803","first-page":"301","article-title":"Lacrimal gland duct cysts","volume":"16","author":"Hornblass","year":"1985","journal-title":"Ophthalmic Surg"},{"key":"R7-20250803","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.ajo.2012.07.028","article-title":"The cytologic composition of dacryops: an immunohistochemical investigation of 15 lesions compared to the normal lacrimal gland","volume":"155","author":"Jakobiec","year":"2013","journal-title":"Am J Ophthalmol"},{"key":"R8-20250803","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1001\/jamaophthalmol.2013.1885","article-title":"Dacryops: a series of 5 cases and a proposed pathogenesis","volume":"131","author":"Lam","year":"2013","journal-title":"JAMA Ophthalmol"},{"key":"R9-20250803","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/0039-6257(86)90120-7","article-title":"Lacrimal ductal cysts. Presentation and management","volume":"30","author":"Smith","year":"1986","journal-title":"Surv Ophthalmol"},{"key":"R10-20250803","doi-asserted-by":"crossref","first-page":"453","DOI":"10.3109\/01676830.2014.949786","article-title":"Lacrimal duct cyst abscess","volume":"33","author":"Dharmasena","year":"2014","journal-title":"Orbit"},{"key":"R11-20250803","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/IOP.0b013e31822ddda7","article-title":"Marsupialization for lacrimal ductular cysts (dacryops): a case series","volume":"28","author":"Salam","year":"2012","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R12-20250803","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/IOP.0000000000000198","article-title":"Characterization of dacryops infections","volume":"31","author":"Kurup","year":"2015","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R13-20250803","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/IOP.0000000000000910","article-title":"Intravenous steroids with antibiotics on admission for children with orbital cellulitis","volume":"34","author":"Chen","year":"2018","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R14-20250803","first-page":"1986","article-title":"The MRSA keratitis in premature infant","volume":"44","author":"Cho","year":"2003","journal-title":"J Korean Ophthalmol Soc"}],"container-title":["Journal of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000007239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T17:34:20Z","timestamp":1754242460000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000007239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,17]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/scs.0000000000007239","relation":{},"ISSN":["1049-2275","1536-3732"],"issn-type":[{"type":"print","value":"1049-2275"},{"type":"electronic","value":"1536-3732"}],"subject":[],"published":{"date-parts":[[2020,11,17]]}}}