HIstopathological evaluation of the lacrimal sac wall incisional biopsy specimens obtained during external dacryocystorhinostomy

[Z. M. Koturović]

99 listova

Medicina - Oftalmologija / Medicine - Ophthalmology

Poremećaji u odvodnom sistemu suza koji dovode do opstrukcije oticanja istih čest su problem u oftalmologiji. Blokada ekskretornog sistema, kada je normalno oticanje suza u nos onemogućeno, u velikoj većini slučajeva nastaje u predelu suzne kese i/ili suzno-nosnog kanala, a može da bude posledica ne-specifične ili specifične patologije suzne kese i/ili suzno-nosnog kanala. Problemi u oticanju suza u najvećem procentu nastaju kao stečeni i, u odrasloj životnoj dobi. Stečena opstrukcija može da bude primarna/idiopatska ili sekundarna. Kod primarne, još uvek neidentifikovani uzrok doprinosi hroničnom zapaljenju suzne kese, stanju nazvanom primarni hronični dakriocistitis. Različiti etiološki faktori (infekcija, zapaljenje, trauma, mehanička prepreka, toksičko dejstvo ili neoplazma), od kojih pojedini česti, a drugi teško uočljivi, mogu da dovedu do sekundarne stečene opstrukcije distalnog dela odvodnog sistema suza koja klinički imponuje kao idiopatsko zapaljenje. Cilj Utvrđivanje učestalosti nespecifične i specifične primarne patologije suzne kese kao uzroka klinički pretpostavljene primarne opstrukcije odvodnog sistema suza, u datom uzorku incizionih biopsija dobijenih prilikom izvođena spoljašnje dakriocistorinostomije. Analiza patoloških procesa odgovornih za histopatološki potvrđenu primarnu i sekundarnu opstrukciju odvodnog sistema suza. Analiza relevantnih kliničkih podataka pacijenata sa primarnom i sekundarnom opstrukcijom odvodnog sistema suza. Analiza/upoređivanje dobijenih patohistoloških i relevantnih kliničkih podataka...

Disorders of the lacrimal drainage system causing tear outflow obstruction are a common problem in ophthalmology. Blockage in the lacrimal excretory outflow system, when normal tear channeling into the nose is impaired, in the vast majority of cases is at the point of the lacrimal sac and/or lacrimonasal duct, and caused by non-specific or specific pathology that involves the lacrimal sac and/or lacrimonasal duct. The majority of obstructions of the lacrimal excretory outflow system is acquired ones, occuring in adulthood, involving the distal parts of the system. Acquired obstruction can be primary/idiopathic or secondary. In the primary, yet unidentified cause contributes to chronic inflammation of the lacrimal sac, condition called primary chronic dacryocystitis. Different etiological factors (infection, inflammation, trauma, mechanical barriers, toxic effects or neoplasm), some of which are common and others hardly visible, can lead to secondary acquired obstruction of the distal part of a lacrimal drainage system clinically impressive as idiopathic inflammation. Aim Determining the frequency of non-specific and specific primary lacrimal sac pathology as a cause of clinically presumed primary acquired lacrimal drainage system obstruction in a given consecutive samples of incisional biopsies obtained during external dacryocystorhinostomy. Analysis of pathological processes responsible for histopathologically confirmed primary and secondary acquired lacrimal drainage system obstruction. Analysis of relevant clinical data of patients with primary and secondary acquired lacrimal drainage system obstruction. Analysis/comparison of obtained histopathological and relevant clinical data...

Suzna kesa, histopatologija, dakriocistorinostomija

Lacrimal sac, histopathology, dacryocystorhinostomy

617.764-076(043.3)

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