Ectopic lacrimal gland cyst of the orbit

Abstract

Ectopic lacrimal gland tissue is most common in the eyelid, conjunctiva, and cornea, but may also be found in the uvea or orbit. A 7-year-old boy developed a mass in the anterior superiomedial orbit close to the trochlea. A superior medial orbitotomy, done when the boy was 9 years old, disclosed a tense, thin-walled, fluid-filled cyst containing a small nest of normal lacrimal gland with a large capsule of fibrous tissue containing areas of singly layered epithelial cells.