Zusammenfassung
In der augenärztlichen Praxis sind pathologische Veränderungen der Tränendrüse(n)
selten anzutreffen. Es überrascht daher nicht, dass sie in augenärztlichen Standardwerken
häufig nicht im Detail dargestellt sind. Anliegen dieses Artikels ist es, kompakt
notwendiges Basiswissen zusammenzustellen und den Bogen zu wichtigen aktuellen Publikationen
zu spannen, um dem Leser nach der Lektüre eine umfassende Kenntnis für die tägliche
Praxis zu vermitteln.
Abstract
Tear gland diseases are comparatively rare in daily ophthalmological practice. The
aim of this article is on the one hand to present the necessary basic knowledge and
on the other hand to draw a bow to important current publications on the subject in
order to provide the reader with sufficient knowledge for daily practice after reading
it.
Inflammatory (acute and chronic specific dacryoadenitis, idiopathic dacryoadenitis),
neoplastic (epithelial and nonepithelial) and structural (cysts etc.) are presented.
Diagnostically, the importance of (open) biopsy has increased again in recent years.
Only the pleomorphic adenoma of the lacrimal gland has to be removed in-toto in order
to avoid a recurrence or malignant degeneration which is difficult to control curatively.
Differential diagnostic aids are explained in detail.
Schlüsselwörter
Tränendrüse - Fossa lacrimalis - pleomorphes Adenom - inzisionale Biopsie - exzisionale
Biopsie
Key words
lacrimal gland - lacrimal fossa - pleomorphic adenoma - incisional biopsy - excisional
biopsy
