期刊
PROGRESS IN RETINAL AND EYE RESEARCH
卷 96, 期 -, 页码 -出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.preteyeres.2023.101193
关键词
PANDO; Nasolacrimal duct obstruction; Tears; Etiopathogenesis; Lacrimal; lacriome
Primary acquired nasolacrimal duct obstruction (PANDO) is a common lacrimal drainage disorder in adults. The current treatment of dacryocystorhinostomy has excellent outcomes, but the understanding of the disease etiopathogenesis needs further study.
Primary acquired nasolacrimal duct obstruction, or PANDO, is a common adult lacrimal drainage disorder. The current treatment modality of dacryocystorhinostomy to bypass the obstructed nasolacrimal duct has excellent outcomes. However, the understanding of the disease etiopathogenesis needs to be revisited. There are not many studies that specifically assessed any hypothesis or ones that convincingly put forth the presumed or confirmed interpretations regarding the PANDO pathogenesis or the mechanisms or pathways involved therein. Histo-pathological evidence points to recurrent inflammation of the nasolacrimal duct, subsequent fibrosis, and the resultant obstruction. The disease etiopathogenesis is considered multifactorial. Several implicated suspects include anatomical narrowing of the bony nasolacrimal duct, vascular factors, local hormonal imbalance, mi-crobial influence, nasal abnormalities, autonomic dysregulation, surfactants, lysosomal dysfunction, gastro-esophageal reflux, tear proteins, and deranged local host defenses. The present work reviewed the literature on the etiopathogenesis of primary acquired nasolacrimal duct obstruction (PANDO) to gain insights into the present state of the understanding and the high-value translational implications of precisely decoding the disease etiology.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据