Lacrimal Gland Tumors Upper East Side

Tumors of the lacrimal gland are rare but potentially serious. Timely diagnosis and treatment by a specialist are essential, whether the tumor is benign or malignant.

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We Prioritize Safety and Preservation of the Eye Lacrimal Gland Tumor Treatment

The lacrimal gland, located in the upper outer corner of the orbit, is responsible for producing tears. When abnormal growths develop in this area, symptoms may be subtle or progress quickly. Dr. Allison Coombs is a board-certified oculofacial plastic surgeon and ophthalmologist with extensive experience managing lacrimal gland tumors. Her deep knowledge of orbital anatomy ensures accurate diagnosis and safe, effective surgical treatment. Known for her precision and calm, informative approach, Dr. Coombs guides patients through every step with compassion and clarity.

What Are Lacrimal Gland Tumors?

Lacrimal gland tumors are abnormal masses that arise from the tear-producing gland. They may be benign (such as pleomorphic adenomas) or malignant (such as adenoid cystic carcinoma). Early detection is key, as some tumors can be aggressive if not promptly addressed.

Key concerns include the following:

Pain or pressure in the upper outer corner of the orbit
Bulging of the eye or displacement downward and inward
Swelling of the eyelid or orbital contour changes
Vision changes or double vision
Possible invasion of nearby structures in malignant cases

How Are Lacrimal Gland Tumors Treated?

Dr. Coombs begins with high-resolution imaging (MRI or CT) to assess the tumor’s size, location, and features. In many cases, surgical removal is recommended—either through excision of the entire gland or targeted resection of the mass, depending on the pathology.

Intraoperative techniques are used to preserve as much healthy tissue and function as possible. When malignancy is suspected or confirmed, a multidisciplinary approach may include oncology and radiation planning post-surgery.

Treatment Benefits With Dr. Allison Coombs

Prompt treatment offers both symptom relief and protection of vision and surrounding structures. Benefits of treatment with a specialist include the following:

Relief from pain, swelling, or pressure
Restoration of eye position and facial symmetry
Reduced risk of local spread or recurrence
Clarification of diagnosis through pathology
Protection of the optic nerve and globe

Who Is a Candidate for Treatment?

Any patient with a known or suspected lacrimal gland tumor should undergo evaluation. Even benign tumors may grow or transform if left untreated. The following are ideal candidates:

Adults with imaging showing a mass in the lacrimal gland.
Individuals with new-onset eye bulging, pressure, or discomfort.
Patients cleared for imaging, sedation, or surgery.
Non-smokers or those willing to stop smoking temporarily.

Choose Excellent Treatment and Care With Dr. Allison Coombs

The lacrimal gland sits near vital structures, making precision, planning, and experience critical in its treatment. Dr. Allison Coombs brings the skill set of a board-certified oculofacial plastic surgeon and ophthalmologist, with specialized fellowship training through ASOPRS. Her ability to navigate the orbit while preserving both vision and form sets her apart in complex tumor care.

Dr. Coombs trained at Tufts, Weill Cornell, and MEETH, where she now directs the oculofacial plastic surgery division. Her calm demeanor and thoughtful communication ensure patients are informed and supported, no matter how complex the diagnosis. Patients facing uncertainty from a lacrimal gland tumor turn to Dr. Coombs for her expertise, which is backed by refined surgical technique and true attention to individual needs.

Schedule A Consultation

The Consultation Step

At your consultation, Dr. Coombs will review your history, symptoms, and imaging (or order new scans if needed). She’ll examine your orbit and eyelid anatomy, explain potential findings, and recommend the appropriate diagnostic or surgical steps. If further oncology input is needed, she coordinates with trusted subspecialists for seamless care.

Overview of Lacrimal Gland Tumor Treatment

Pre-op imaging and consultation
Surgical access through the eyelid or lateral orbit
Tumor dissection with care to preserve nearby structures
Complete removal and closure with fine sutures
Recovery guidance and pathology follow-up

Recovery and Results

Mild swelling, bruising, and orbital pressure are normal for one to two weeks. Vision is usually preserved, though temporary blurriness may occur. Dr. Coombs monitors healing closely and follows up with pathology results within one to two weeks. Patients typically resume light activity in seven to ten days, with full recovery over several weeks.

Procedures Involved in Treatment

Orbital Biopsy – If tumor characteristics are uncertain
Imaging Surveillance – For small, stable lesions
Orbital Decompression – For symptomatic pressure or bulging
Adjunct Oncology Referral – For confirmed malignant tumors

FAQ Lacrimal Gland Tumors

Are lacrimal gland tumors always cancerous?

No. Many are benign, but all masses in this area require evaluation due to the risk of malignancy.

Will removing the gland affect tear production?

Some tear reduction may occur, but the eye typically compensates with alternative glands. Dryness can be managed with drops if needed.

Is a biopsy required?

Sometimes. If imaging suggests malignancy or uncertainty remains, biopsy may precede or accompany surgery.

Is surgery dangerous?

Dr. Coombs uses advanced techniques to minimize risks. As with all orbital surgery, risks include bleeding, infection, and visual changes, but are rare in skilled hands.

Will I need radiation or chemotherapy?

Only if the tumor is malignant, if needed, does Dr. Coombs collaborate with oncology teams to coordinate treatment.

Will my eye look the same after surgery?

Dr. Coombs prioritizes cosmetic balance. In most cases, eyelid and orbital symmetry are well preserved.