Dacryoadenitis is inflammation of the tear-producing gland (lacrimal gland).
Acute dacryoadenitis is most commonly due to viral or bacterial infection. Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus.
Chronic dacryoadenitis is most often due to noninfectious inflammatory disorders. Examples include sarcoidosis, thyroid eye disease, and orbital pseudotumor.
Symptoms may include:
If the cause of dacryoadenitis is a viral condition such as mumps, rest and warm compresses may be enough. In other cases, the treatment depends on the disease that caused the condition.
Most people will fully recover from dacryoadenitis. For more serious causes, such as sarcoidosis, the outlook depends on the disease that caused this condition.
Swelling may be severe enough to put pressure on the eye and distort vision. Some people who were first thought to have dacryoadenitis may turn out to have cancer of the lacrimal gland.
Contact your health care provider if swelling or pain increase despite treatment.
Mumps can be prevented by getting vaccinated. You can avoid getting infected with gonococcus, the bacteria that cause gonorrhea, by using safe sex practices. Most other causes cannot be prevented.
Published Date: August 18, 2020
Published By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Durand ML. Periocular infections. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 116.
McNab AA. Orbital infection and inflammation. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 12.14.
Patel R, Patel BC. Dacryoadenitis. 2020 Jun 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 30571005 pubmed.ncbi.nlm.nih.gov/30571005/.