ACUTE METASTATIC GONORRHEAL DACRYOADENITIS: A CLINICAL AND HISTOLOGIC STUDY

OUTLINE 

• Literature

  1. History

  2. Clinical picture of acute dacryoadenitis

  3. Etiology of acute dacryoadenitis

  4. Gonorrheal dacryoadenitis

• Report of a case

  1. Clinical course

  2. Pathologic changes

     1. Conjunctival epithelium

     2. Submucosa

     3. Supporting tissue

     4. Excretory ducts

        • Extralobular ducts

          1. Contributory

          2. Primary

          3. Dilated

        • Intralobular ducts

     5. Parenchyma

     6. Blood vessels

     7. Bacteriologic observations

     8. Comment

• Comment

• Summary and conclusions

I. LITERATURE 

A. HISTORY  Knowledge of disease of the lacrimal apparatus is recorded in the earliest medical literature. Hirsch 1 found reference to lacrimal disease in the Ebers Egyptian Papyrus of 1500 B. C. Schirmer² found seventy-three references to it between 1659 and 1800. Early nineteenth century writers on the subject include Schmidt³ (1803), Beer⁴ (1813) and Weller⁵ (1821). Schmidt's treatise on the diseases of the lacrimal gland is an extensive work of value chiefly for its historical interest. He was the first to designate inflammation of the lacrimal gland as dacryoadenitis. Some of the etiologic factors named by him