The lacrimal apparatus; discussion.
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Mucosa-associated lymphoid tissue lymphoma can occur in various localizations. We describe the case of a patient presenting bilateral MALT lymphoma involving a lacrimal gland and a lacrimal duct. Biopsy specimens are required for histologic diagnosis. Such low-grade lymphomas are generally treated medically with radiotherapy or chemotherapy. Prognosis is generally favorable. A complete work-up is required to determine extension. These patients should be followed regularly.
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An investigation of consultancy work at Münster University Eye Hospital from 1967 to 1977 showed that 84% of all cases seen arose from accidents. Unilateral and bilateral lid injuries with injuries to the lacrimal system are statistically less important for the assessment of damage due to accidents. Although both lid injuries and injuries of the lacrimal apparatus very often occur together with perforating eye injuries they are only important in 2% of all assessments of accident damage.
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Discussed is the treatment of a variety of conditions that affect the structures responsible for the production and drainage of tears.
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