11. Frequently involved structures include the lacrimal glands , extraocular muscles, infraorbital nerve, supraorbital nerve and eyelids. 12. Lacritin is most highly expressed in the lacrimal gland , including the accessory lacrimal gland of Wolfring. 13. Lacritin is most highly expressed in the lacrimal gland, including the accessory lacrimal gland of Wolfring. 14. The rose bengal test uses a stain that measures state and function of the lacrimal glands . 15. It is mainly produced by the lacrimal gland . 16. Lacrimal gland involvement may cause swelling of the upper eyelid, or proptosis if there is severe swelling.17. It also supplies parasympathetic innervation to the nasal mucosa and the lacrimal gland via the pterygopalatine ganglion. 18. Some patients first thought to have dacryoadenitis may turn out to have a malignancy of the lacrimal gland . 19. Sometimes biopsy will be needed to be sure that a tumor of the lacrimal gland is not present. 20. In the middle, forming the bulk of the tears, is a watery layer produced by the lacrimal gland .