Reconstructions of Traumatic Lacrimal Canalicular Lacerations: A 5 Years Experience

Abstract

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.

Incidence and Management Techniques of Severed Lacrimal Canaliculi : 11 Years Experience

“…There is a considerable debate on how long should the lacerated canaliculus be stented but in general the duration of stenting ranged from 3 months to 1 year in most of the studies. (8,16,20,21) In this report stents were left for one year, only removed earlier if complicated. The majority of stents (81.8%) were removed between 3 and 6 months.…”

“…Previous studies found anatomical canalicular patency with no epiphora when mono-canalicular stents were used for bicanalicular laceration. (8,(16)(17)(18) In this study, 2 patients had bi-canalicular mono-canalicular stents, one in each canaliculus, both had anatomical patency with insignificant epiphora that does not interfere with daily activities or visual acuity.…”

Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

“…[15] Success rate of monocanalicular intubation method has been reported in the range of 60% to 100%. [21][22][23]30,32,33] High rate of success has also been described in some studies conducted in our country. Argın et al, [12] Yaman et al, [29] and Oltulu et al reported success rate of 100%.…”

“…[13] Şendul et al reported 97% anatomical success and 93% functional success in 44-case series. [33] (Table 3) In present study, anatomical and functional success rate was determined to be 100%.…”

“…[5,12,13,16,[23][24][25][26][27][28][29][30][31][32][33] Bicanalicular intubation has rate ranging from 30% to 100%. [5,13,15,26,31] Jordan et al [5] reported success rate of 94% in large series, which included 222 bicanalicular intubations.…”