Fig. 3

Typical clinical and histologic features of Wolfring gland ductal cysts. (A) A mass in the right upper lid medially of a 6-year-old child. (B) A bluish gray cystic lesion in the superomedial fornix of the right eye of the same patient. (C) A dense fibrotic band along the proximal tarsal border with complete lid eversion. (D) Signs of trachoma adjacent to a WGDC in the upper eyelid of another patient. (E) A mass in the right lower eyelid centrally of a 34-year-old man. (F) The lesion is visible through the conjunctiva as a bluish gray cystic mass with surrounding scarring and symblephara. (G) A cyst is lined by a double-layered nonkeratinizing cuboidal epithelium with a serpiginous cavity (original magnification, ×200). (H) Adjacent lacrimal glandular tissue. (I) Periductular chronic inflammatory cells