Accessory lacrimal glands

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Accessory lacrimal glands
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Accessory-lacrimal-glands
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System Lacrimal system
Anatomical terminology

Krause's glands and Wolfring's glands (or Ciaccio's glands) are the accessory lacrimal glands of the lacrimal system of human eye. [1] These glands are structurally and histologically similar to the main lacrimal gland. Glands of Krause are located in the stroma of the conjunctival fornix, and the glands of Wolfring are located along the orbital border of the tarsal plate. [2] These glands are oval and display numerous acini. The acini are surrounded, sometimes incompletely, by a row of myoepithelial cells. Animal studies suggest that the ducts of Wolfring glands have a tortuous course and open onto the palpebral conjunctiva. Like the main lacrimal gland, the accessory lacrimal glands are also densely innervated, but they lack parasympathetic innervation. These glands are exocrine glands, responsible for the basal (unstimulated) secretion of the middle aqueous layer of the tear film. [3] 20 to 40 glands of Krause are found in the upper fornix, and 6-8 glands appear in the lower fornix. [4] There are usually 2 to 5 Ciaccio's glands, and are found along the superior tarsal border of the upper eyelid. [1] Popov’s glands are located within the substance of the caruncle. [1]

Contents

Function

Previously it was thought that the main lacrimal gland is responsible for reflex tear secretion and the accessory lacrimal glands of Wolfring and Krause are responsible for the basal secretion. But recent evidence suggests that all tearing may be reflex. [5] The accessory glands account for approximately 10% of the total lacrimal secretory mass. [6]

History

Ciaccio's glands are named after Italian anatomist Giuseppe Vincenzo Ciaccio (1824–1901), who described these glands in 1874. They are sometimes called "Wolfring's glands" after Polish ophthalmologist Emilj von Wolfring (1832-1906), who described them during the same time period as did Ciaccio. Krause's glands are named after German anatomist Karl Friedrich Theodor Krause (1797–1868).

See also

Related Research Articles

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Karl Friedrich Theodor Krause was a German anatomist born in Hanover.

Ciaccio's glands or Wolfring's glands are small tubular accessory lacrimal glands found in the lacrimal caruncle of the eyelid. These accessory lacrimal glands are located in the upper border of the tarsus, approximately in the middle between the extremities of the tarsal glands. Sometimes they are situated slightly above the tarsus. There are usually 2 to 5 of these glands in the upper eyelid, and their function is to produce tears which are secreted onto the surface of the conjunctiva.

Krause's glands or Krause glands are small, mucous accessory lacrimal glands that are found underneath the eyelid where the upper and lower conjunctivae meet. Their ducts unite into a rather long sinus which open into the fornix conjunctiva. There are approximately forty Krause glands in the region of the upper eyelid, and around 6 to 8 in the region of the lower lid. The function of these glands are to produce tears which are secreted onto the surface of the conjunctiva.

<span class="mw-page-title-main">Accessory visual structures</span> External parts of the eye including eyebrow, eyelid, and lacrimal apparatus

The accessory visual structures are the protecting and supporting structures (adnexa) of the eye, including the eyebrow, eyelids, and lacrimal apparatus. The eyebrows, eyelids, eyelashes, lacrimal gland and drainage apparatus all play a crucial role with regards to globe protection, lubrication, and minimizing the risk of ocular infection. The adnexal structures also help to keep the cornea moist and clean.

Giuseppe Vincenzo Ciaccio was an Italian anatomist and histologist. His name is associated with accessory lacrimal glands known as "Ciaccio's glands".

References

  1. 1 2 3 Presutti, Livio; Mattioli, Francesco, eds. (December 2015). "Anatomy of the lacrimal drainage system". Endoscopic surgery of the lacrimal drainage system. Springer. pp. 3–5. ISBN   978-3-319-20632-5.
  2. Lee Ann Remington. Clinical Anatomy and Physiology of the Visual System (3 ed.). Elsevier. p. 165.
  3. "The secretory system". TRB Chemedica International.
  4. Lee Ann Remington. Clinical Anatomy and Physiology of the Visual System (3 ed.). Elsevier. pp. 170–171.
  5. "Secretory Apparatus". American Academy of Ophthalmology.
  6. Christopher D. Conrady, Zachary P. Joos, and Bhupendra C. K. Patel (2016). "Review: The Lacrimal Gland and Its Role in Dry Eye". Journal of Ophthalmology. 2016: 1–11. doi: 10.1155/2016/7542929 . PMC   4793137 . PMID   27042343.{{cite journal}}: CS1 maint: multiple names: authors list (link)