To the Editor.
—The article in the April issue of the Archives by Drs Scherz and Dohlman1 warns of the possibility of producing keratoconjunctivitis sicca (KCS) by removal of the palpebral lobe of the main lacrimal gland (palpebral dacryoadenectomy) and of the danger of the same result by removal of the orbital lobe. I agree with such statements with the qualification that KCS may occur when there are concomitant pathological findings. Otherwise, I think such a complication is rare.It is of interest to note the findings of several authors in relation to this controversy. Algernon B. Reese states that KCS usually does not occur after removal of the main lacrimal gland because of the adequate areas of ectopic lacrimal gland tissue.2(p503) Duke-Elder3 also believes that excision of the main lacrimal gland rarely causes serious ill effects. Occasionally, disturbances due to desiccation arise wherein chronic disease has
Camilo Taiara. Keratoconjunctivitis Sicca After Lacrimal Gland Removal. Arch Ophthalmol. 1976;94(4):686. doi:10.1001/archopht.1976.03910030342021