Canalicular Laceration

Kennedy, Robert H.; May, Jody C.; Dailey, John R.; Flanagan, Joseph C.

doi:10.1097/00002341-199003000-00008

Cited by 77 publications

(12 citation statements)

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“…According to the previous studies, canalicular laceration frequently occurred in children and young adults. Kennedy and associates, in an 11-year clinical study, noted that 68% of canalicular injuries occurred in persons below 30 years of age [2]. Naik and associates conducted a clinical study in India on canalicular laceration, and the mean age of patients was 16 years old [3].…”

Section: Discussionmentioning

confidence: 99%

“…Eyelid injuries are sometimes accompanied by canalicular laceration because the canaliculus sits just beneath the thin layer of the eyelid skin without additional protection [1]. The lower canaliculus is especially vulnerable to direct penetrating and indirect or diffuse avulsive blunt injury to pericanalicular soft tissue in the lacrimal drainage system [1, 2]. According to the previous studies, 16–36% lesions of the lacrimal drainage system were noted in all eyelid injuries [3–5].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics, Intraoperative Findings, and Surgical Outcomes of Canalicular Laceration Repair with Monocanalicular Stent in Asia

Lin

Wang

Shen

et al. 2019

Journal of Ophthalmology

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Purpose. To report the epidemiological and clinical data as well as surgical outcomes of canalicular lacerations with Mini-Monoka insertion at a tertiary center in Taiwan and to discuss differences in traumatic pattern, pathogenesis, and surgical outcomes between Taiwan and other countries. Methods. From 2009 to 2018, all 48 patients who underwent canalicular laceration repair with Mini-Monoka stent at a tertiary center in Taiwan were retrospectively analyzed. Demographic and clinical data and surgical outcomes were recorded. Results. The mean age of the 48 patients was 38 years. Single lower canaliculus was involved in 37 (77.1%) patients, upper canaliculus in 10 (20.8%) patients, and both in 1 (2.1%) patient. The most common etiology was motorcycle accident (41.7%), and all traffic accident injuries accounted for 68.75% of cases. Subgroup classification revealed 64.6% of patients (n=31) were categorized in the deep laceration group, and lower anatomical and functional outcomes were noted in deep laceration. The mean follow-up time was 14.5 months. Overall, the anatomical success rate was 87.5%, and the functional success rate was 91.7% after stent removal. Conclusion. Canalicular laceration caused by traffic accidents occurred with a relatively high frequency in Taiwan. Affected patients tended to be middle-aged, and deep laceration accounted for 64.6% of patients. These were contributed by the avulsive eyelid injury mechanism caused by traffic accidents. Furthermore, the deeper lacerated site was located, and the lower anatomical and functional success rates were observed. Early repair after trauma with Mini-Monoka stents achieved good eyelid position (100%) as well as good anatomical (87.5%) and functional (91.7%) success without serious complication.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics, Intraoperative Findings, and Surgical Outcomes of Canalicular Laceration Repair with Monocanalicular Stent in Asia

Lin

Wang

Shen

et al. 2019

Journal of Ophthalmology

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“…Kennedy et al. 6 and Canavan and Archer 7 both found that patients with injuries to both canaliculi were associated with a worse prognosis than those with single‐canalicular injuries. There has always been controversy regarding the role of the upper canaliculus in tear drainage.…”

Section: Discussionmentioning

confidence: 99%

National survey on the management of lacrimal canalicular injury in the United Kingdom

Lee

2006

Clinical Exper Ophthalmology

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“…Canalicular laceration may occur at any age [1, 2], especially in children and young adults and commonly affects the inferior canaliculus [3]. In addition, both direct and indirect injuries at the medial canthal region may result in canalicular laceration [1, 4].…”

Section: Introductionmentioning

confidence: 99%

“…Canalicular laceration frequently accompanies other ocular injuries, including eyelid and globe lacerations [8]. Unrepaired canalicular lacerations may cause inflammation, scar, canalicular stenosis, and obstruction, leading to subsequent epiphora [3]. Several methods are available for reconstructing the lacerated canaliculus, including repair of the lacerated eyelid without a lacrimal stent, intubation of the lacerated duct with monocanalicular or bicanalicular stents with or without mucosal anastomosis, or early canaliculodacryocystorhinostomy [1, 9–13].…”

Section: Introductionmentioning

confidence: 99%

The Study of a New Modified Bicanalicular Intubation for the Repairment of Traumatic Canalicular Laceration

Zhang

Ning

2019

Journal of Ophthalmology

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Introduction. To investigate the efficacy and safety of a modified bicanalicular intubation (MBCI) used in canalicular laceration. Materials and Methods. This study is a retrospective consecutive chart review. A total of 43 eyes from 43 patients (36 males and 7 females) who underwent canalicular intubation were enrolled. Success rate was determined at 6 months after the surgery. Anatomical success was determined by diagnostic probing and irrigation; functional success was determined by asking patients about tearing. Results. Irrigation of the lacrimal passages in all 43 eyes showed that they were free from obstruction. The anatomical success was 100%, and 37 eyes (86%) achieved functional success. 6 eyes (14%) could not achieve functional success because there were some residual symptoms under irritating conditions, such as wind or winter weather, among which 2 eyes had bicanalicular lacerations and 4 eyes had lower canalicular laceration before surgery. There were no other complications observed in this study. Conclusions. The MBCI was simple and safe for using in canalicular laceration.

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Canalicular Laceration

Cited by 77 publications

References 0 publications

Clinical Characteristics, Intraoperative Findings, and Surgical Outcomes of Canalicular Laceration Repair with Monocanalicular Stent in Asia

Clinical Characteristics, Intraoperative Findings, and Surgical Outcomes of Canalicular Laceration Repair with Monocanalicular Stent in Asia

National survey on the management of lacrimal canalicular injury in the United Kingdom

The Study of a New Modified Bicanalicular Intubation for the Repairment of Traumatic Canalicular Laceration

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