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

Ho, Thomas; Lee, Vickie

doi:10.1111/j.1442-9071.2006.01137.x

Cited by 29 publications

(17 citation statements)

References 16 publications

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“…22 In 1973, however, Hanselmayer 23 reported that patency rates in patients operated upon within 6 h of injury were similar to those achieved in patients who were operated upon 7-48 h after injury. Most recent studies recommend repairing canalicular lacerations within 48 h. 1,11,19,24 In our study, surgery in 12 patients (12.2%) was delayed for up to 48 h. Of these, fi ve had anatomic success, and four had a postinjury repair duration of 6-11 days. However, all operations in these patients were performed by experienced surgeons.…”

Section: Factors Of Anatomic Successmentioning

confidence: 87%

“…3,20,21 Nevertheless, recommendations for the timing of stent removal following bicanalicular nasal silicone intubation vary widely from 6 weeks to 1 year. 1,4,11,15 There is general agreement that the stent should be left in place long enough for adequate mucosal healing to minimize the risk of canalicular stenosis. An animal study in sheep found that silicone intubation was essential to reestablish patency of the canaliculus, and the optimal time for removal was found to be 12 weeks.…”

Section: Factors Of Anatomic Successmentioning

confidence: 98%

“…[1][2][3][4]10,23 Nevertheless, little is known regarding the optimal timing for the surgery or silicone tubing removal, or the factors that infl uence the surgical outcome. 4,10,11 Bicanalicular nasal intubation with a silicone tube is widely used for treatment of canalicular lacerations. 2,3,[12][13][14][15] The materials and methods used to perform bicanalicular nasal intubation are similar to those used for treatment of congenital nasolacrimal obstruction in children.…”

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confidence: 99%

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Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations

Chen

et al. 2010

Jpn J Ophthalmol

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Our results suggest that retaining bicanalicular silicone nasal intubation for more than 90 days can provide satisfactory results in restoring both canalicular anatomy and function. With an experienced operating team, repair of canalicular lacerations can be delayed for up to 11 days. However, patients with combined upper and lower canalicular lacerations are at an increased risk of developing postoperative symptomatic epiphora.

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Section: Factors Of Anatomic Successmentioning

confidence: 87%

Section: Factors Of Anatomic Successmentioning

confidence: 98%

mentioning

confidence: 99%

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Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations

Chen

et al. 2010

Jpn J Ophthalmol

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“…9 Furthermore, although the need to repair a lacerated canaliculus remains debatable, it is generally accepted that posttraumatic epiphora can be prevented by surgical manipulation. The widely accepted approach to canalicular repair includes (1) avoiding trauma to unaffected parts of the lacrimal drainage system, (2) the placement of an endocanalicular stent produced from well tolerated material, and (3) direct anastomosis of severed canalicular ends.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Reconstruction for Canalicular Laceration Using Monostent® and Mini-Monoka®

Eo¹,

Park²,

Cho³

et al. 2010

Annals of Plastic Surgery

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Many surgical techniques are available for repairing a lacerated canaliculus, such as, Worst pigtail probing, and monocanalicular or bicanalicular procedures involving silicone intubation. Despite this, controversy still exists regarding the best surgical method in terms of subjective and objective outcomes. We report the experience of microscopic canalicular repair using monocanalicular stents; Monostent (Eagle Vision Inc., Memphis, TN) and Mini-Monoka stents (FCI Ophthalmics, Marshfield Hills, MA) and compare these 2 products. Seventeen cases of canalicular lacerations in 15 consecutive patients underwent microscopic canalicular repair using a monocanalicular procedure with either a Monostent (Eagle Vision Inc.) (5 cases) or a Mini-Monoka stent (FCI Ophthalmics) (12 cases). Microscopic anastomosis of the canalicular mucosa was performed following the placement of a juxta canalicular suture to reduce tension. Subjective and objective flows of repaired lacrimal drainage systems were checked by saline injection using a Healon needle (Advanced Medical Optics, Inc., Santa Ana, CA) and dacryocystogram. Patent lacrimal drainage systems were achieved in 16 of the 17 cases, and mild epiphora was acceptable in 14 patients during follow-up. No cases of spontaneous punctal plug migration, stent displacement, eyeball irritation or inflammation, or granuloma formation were encountered. However, in one case, a Mini-Monoka stent (FCI Ophthalmics) was repeatedly extruded or clogged internally and replaced by Monostent (Eagle Vision Inc.). Although the latter had a larger conduit diameter, it was more flexible and had potentially folded on itself in the lacrimal sac, thus, obstructing flow in this case. Microscopic canalicular reconstruction using a Monostent (Eagle Vision Inc.) or Mini-Monoka stent (FCI Ophthalmics) offers a safe, effective, and straightforward means of acute lacrimal system injury treatment.

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“…Direct microsurgical re-anastomosis of the canalicular epithelium or indirect anastomosis is recommended for the satisfactory repair of canalicular lacerations [14][15][16][17][18][19][20]. We preferred direct microsurgical re-anastomosis in cases having lacerations 2/3 of the distance to the punctum, and pericanalicular re-anastomosis in cases with lacerations 1/3 of the distance to the lacrimal sac.…”

Section: Discussionmentioning

confidence: 99%

Reconstructions of Traumatic Lacrimal Canalicular Lacerations: A 5 Years Experience

Sendul

Çağatay

Dirim

et al. 2015

The Open Access Journal of Science and Technology

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Abstract. Background:The aim of this study is to evaluate the demographic and epidemiological data, clinical features and surgical outcomes of lacrimal canalicular lacerations. Methods: The charts of all patients who applied to our emergency department with eyelid laceration from 2008 to 2013 were reviewed retrospectively. Demographic and epidemiological data, clinical characteristics, treatment outcomes, simultaneous injuries and complications of patients who underwent canalicular laceration repair surgery were analyzed. Results: A total of 556 patients were identified with an eyelid laceration, and in 42 (7.55%) of these patients 44 lacrimal canalicular lacerations were detected. The average age was 26.16±18.42 (range 5 to 78) years and mean follow-up time was 17.62±6.62 months (range 12-42 months). The male-to-female ratio was 5.3-1. The lower canaliculus was involved in 33 patients (78.57%), the upper in 7 patients (16.6%), and 2 patients (4.76%) had bicanalicular involvement. The most common etiology of canalicular laceration was assault (n = 16, 38.1%) followed by traffic accidents (n = 8, 19.05%). In 28 patients (66.67%) surgery was performed within 24 hours and in 14 patients (33.33%) surgery was performed between 24 hours and 6 days. In 32 patients (76.2%) direct anatomosis and in 10 patients (23.8%) indirect anastomosis was performed. Tubes were removed after a mean time of 5.8±2.8 months. Anatomic success was 96.87%, while functional success was 92.85%. Complications were detected in 3 cases: two patients had early tube extrusions and in patient had punctal slits. Conclusion: Reconstruction of traumatic lacrimal canalicular lacerations with stenting gives good results at long-term follow up. The Mini-Monoka tube is a safe, simple, effective method with few complications.

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

Abstract: This study confirmed that management of lacrimal canalicular injury varies widely among surgeons in the UK.

Cited by 29 publications

References 16 publications

Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations

Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations

Microsurgical Reconstruction for Canalicular Laceration Using Monostent® and Mini-Monoka®

Reconstructions of Traumatic Lacrimal Canalicular Lacerations: A 5 Years Experience

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