A new method for identifying the cut ends in canalicular laceration

Peng, Wen-Yan; Wang, Yandong; Tan, Bowei; Wang, Haiying; Liu, Xuehua; Liang, Xinghua

doi:10.1038/srep43325

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…The cut-off site was determined using a pigtail probe, a light guide, or by filling the lacrimal sac with viscoelastic material or air. Then, a bicanalicular silicon stent, a monocanalicular silicon stent, or two monostents were inserted into the lacrimal sac [7,[14][15][16][17][18]. However, only a few reports have focused on the course of treatment for common lacrimal canalicular lacerations.…”

Section: Discussionmentioning

confidence: 99%

Acute and Past Common Lacrimal Canalicular Lacerations: A Report of Two Cases

Kono,

Kamei

2024

Cureus

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Lacrimal canalicular lacerations can be caused by trauma to the ocular adnexa, such as a penetrating or blunt injury. Only a few cases involving the common canaliculus or lacrimal sac have been reported, and only a few reports have described the detailed course of treatment. Here, we report an acute case of common lacrimal canalicular laceration and a case of a previous common canalicular laceration. The acute case was treated with a bicanalicular stent directly inserted into the nasolacrimal duct. The case with a previous common canalicular laceration was treated with external dacryocystorhinostomy combined with monocanalicular stent insertion. These treatments may be appropriate for the initial surgery and can be selected before performing conjunctivodacryocystorhinostomy.

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Section: Discussionmentioning

confidence: 99%

Acute and Past Common Lacrimal Canalicular Lacerations: A Report of Two Cases

Kono,

Kamei

2024

Cureus

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“…Pigtail probing or injecting air, fluorescein dye, or viscoelastic substances from one punctum to identify the other end have been reported (20)(21)(22). Peng et al described a method to identify torn ends of the canaliculus using a 23 Ga fiber optic probe (23).…”

Section: Discussionmentioning

confidence: 99%

A case series study of lacrimal canalicular laceration repair with the bi-canalicular stent

Han¹,

Chen²,

Zhang³

et al. 2022

Gland Surg

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Background: Lacrimal canalicular laceration can be caused by trauma on the ocular adnexa, such as penetrating or blunt injuries, accounting for approximately 16% of eyelid lacerations and 20% of eye traumas. Historically, canalicular anastomosis combined with bi-canalicular or mono-canalicular stent intubation has been used for canalicular laceration repair. In this study, we analyzed the epidemiological characteristics of lacrimal canalicular laceration and evaluate the clinical outcomes of repair using the bicanalicular stent in central China. It aims to provide a reference for clinical work.Methods: This is a review of 338 patients (338 eyes) with eyelid lacrimal canaliculus laceration undergoing reparative bi-canalicular stent intubation from January 1st 2017 to December 30 th 2020. The analyzed data included demographics, the place of occurrence of the trauma, the mechanism of injury, additional injury, and surgical outcomes at follow-up. The outcomes included anatomic success, functional success, and complications. Results:The average age was 39.6±20.0 years (1 to 88 years). Of all the 338 patients, 254 (75.15%) patients were men. Upper and lower canalicular lacerations were seen in 68 (20.12%) and 256 (75.74%) patients, respectively. Also, 14 patients (4.14%) presented with both upper and lower canalicular lacerations. Most injuries occurred on the streets (146, 43.20%), followed by the home in 111 (32.84%) patients. Traffic accidents were the leading cause of injury (127, 37.57%), including 72 (21.30%) cases of electric bikeassociated accidents, followed by fall-related trauma in 65 (19.23%) cases. During the follow-up, there were 6 (1.78%) patients with eyelid ectropion and 9 (2.66%) patients with stent extrusion and loss due to eye rubbing and pulling the sutures out. At the end of follow-up, the anatomical success rate was 95.86% and the functional success rate was 89.86%.Conclusions: Electric bike-associated accidents occurring on the streets is the current leading cause of injury in central China. Lacrimal canalicular laceration repair with a bi-canalicular stent offers an effective surgical therapeutic strategy for traumatic canalicular lacerations. In addition, avoiding traffic accidents is also one way prevent lacrimal canalicular laceration.

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“…Peng et al described a method to identify torn ends of the canaliculus using a 23 Ga fibre optic probe. However, the technique was demonstrated via diagrams instead of clinical photographs of practical cases 2. The basic concept in both the methods remains the same, that is, exploration of the torn end of the canaliculus with the help of an illuminating source, but the intraoperative challenges need a detailed discussion with the help of a practical case.…”

Section: Descriptionmentioning

confidence: 99%