1Uhlig C. E., 2Hungermann D., 3Knepper T. 1Busse H.

1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Münster, Domagkstr. 15, D-48129 Münster; 2Institut für Pathologie, Universitätsklinikum Münster, Domagkstr. 5, D-48129 Münster; 3Gemeinschaftspraxis für Radiologie, Jan-Pallach-Str. 5, D-31134 Hildesheim

Objective: A 48-year-old patient had already suffered a shortening of the levator aponeurosis for bilateral ptosis and Blepharochalasis Fuchs 11 years ago in a foreign hospital. He complained about newly increasing bilateral ptosis and a progressive tumor of the right superior-lateral palpebral region.
Material and methods: Clinical examination revealed lid apertures of 10, 6 and 0 mm (R.E.) and 11, 6, 1 mm (L.E.). 30°-visual field disclosed defects in the upper peripheral regions. Myasthenia gravis was excluded by testing with edrophonium and curare. Elevating the lateral upper and lower lid of his right eye a conically shaped, rose-coloured tumor with tuberous surface protruded. Computer tomographic and nuclear magnetic image scans presented increased lacrimal glands with a cystoid formation on the right side. No infiltration of muscle, fat or bony parenchyma was seen.
Results: A Fasanella-Servat procedure was performed and the tumorous mass removed. Histologic examination revealed a simple cyst of a lacrimal ductule.
Conclusions: The palpebral tumor can be explained by an obstruction of the lobule's orifice of the lacrimal gland and was probably initiated by the primarily performed ptosis-operation.

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