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The role of inflammatory biomarkers in predicting primary acquired nasolacrimal duct obstruction and postoperative recurrence

Garip, Rüveyde Sakallıoğlu, Ahmet Kürşad 名古屋大学

2023.05

概要

Primary acquired nasolacrimal duct obstruction (PANDO) is a common ophthalmologic problem
of the lacrimal passages that causes epiphora.1 PANDO is characterized by idiopathic inflammation
and fibrosis, resulting in partial stenosis or complete occlusion of the nasolacrimal duct.2,3 Many
factors have been suggested that trigger the inflammation in PANDO, such as infection in the
conjunctiva, sinusitis, and nasal pathway diseases.1,3 Although the main etiological factors causing
PANDO remain unknown, it is recognized that chronic inflammation has a prominent role in its
pathogenesis.2-4 Dacryocystorhinostomy (DCR), which is based on the creation of an alternative
pathway for drainage of tears between the lacrimal sac and nasal cavity, is considered the gold
standard treatment for PANDO.5
Recently, white blood cells, neutrophil, monocyte, platelet, neutrophil-to-lymphocyte ratio
(NLR), and platelet-to-lymphocyte ratio (PLR) have been proposed as indicators of subclinical
systemic inflammation.6 These simple and inexpensive methods for assessing inflammation have
been used as predictors of several ocular diseases, including dry eye,7 retinal vein occlusion,8
neovascular glaucoma,6 diabetic retinopathy,9 and age-related macular degeneration.10
The systemic immune-inflammation index (SII) is a novel inflammatory biomarker that has
been proposed as a prognostic indicator in various diseases, such as cancer,11 stroke,12 cardiovascular diseases,13,14 and systemic inflammatory disorders.15 Tang et al16 suggested that NLR
and SII might serve as inflammatory predictors in primary open-angle glaucoma patients. Ozcan
et al17 reported that the SII is superior to other inflammatory biomarkers in dry eye patients.
Atum and Alagöz18 reported higher NLR and lower mean platelet volume levels in PANDO
patients compared to healthy controls and suggested that NLR and mean platelet volume counts
were associated with PANDO.
Based on this knowledge, it has been hypothesized that there might be a relationship between
subclinical systemic inflammation and the development of PANDO. Therefore, this study aims
to determine the relationship of inflammatory biomarkers, including NLR, PLR, and SII, with
PANDO and to evaluate whether they can be used as indicators in determining the risk of
recurrence after DCR. ...

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参考文献

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References End

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