Cysts of the accessory lacrimal gland of Wolfring are uncommon in Euro
pe; they are commoner in areas where trachoma is endemic and usually o
ccur in eyes with some evidence of past trachomatous scarring (Bullock
et al. 1986), The recommended mode of management is surgical, using a
n operating microscope, with an incision through the conjunctiva, Simp
le aspiration is inappropriate since the cyst refills, We describe a c
ase of dacryops of the glands of Wolfring in a Caucasian male with no
evidence of previous trachoma. This was managed with simple needling o
f the cyst, There was no recurrence of the cyst at 2 years follow-up.