Tags

Type your tag names separated by a space and hit enter

Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent.
Am J Ophthalmol. 2008 Feb; 145(2):375-380.AJ

Abstract

PURPOSE

To report the epidemiological data, clinical profile, and surgical outcome of canalicular lacerations in an Indian population.

DESIGN

Retrospective interventional case series.

METHODS

All patients who underwent canalicular laceration repair from July 1, 2002 to June 30, 2005 at a tertiary eye care center were retrospectively reviewed. Demographics, cause of eyelid injury, associated ocular injury, surgical management with Mini-Monoka monocanalicular stent, and its outcome were analyzed.

RESULTS

Sixty-six patients underwent eyelid laceration repair, of which 24 (36%) had involvement of the canalicular system. The mean age at presentation was 16 years (range, 10 months to 52 years); 20 (83.3%) patients were males. Mode of injury included the blouse-hook fastener in five (20.8%) breast-feeding infants, bicycle handle injury in four (16.7%) children, and metal rod injury in five (20.8%) adults. Lower canaliculus was involved in 13 (54.1%), upper in eight (33.3%), and both in three (12.5%) patients. Simultaneous globe injury was noted in six (25%) patients, five (83.3%) of which had upper canalicular involvement. Twenty-seven canalicular lacerations (24 patients) underwent stenting with the Mini-Monoka monocanalicular stent. Three (11.1%) stents extruded within one month. At the final follow-up (mean, 18.5 months), canalicular block was noted in two (10%) out of 20 patients; none had epiphora.

CONCLUSION

Canalicular involvement occurs in 36% of eyelid injuries. Injury by the "blouse-hook fastener" is unique to infants in the Indian context. Simultaneous globe injury is present in 25% of cases, especially when the upper canaliculus is involved. Mini-Monoka stent extrusions occur within one month. With an 11.1% extrusion rate, Mini-Monoka stents achieved good anatomical (90%) and functional (100%) success in the management of canalicular injury.

Authors+Show Affiliations

Division of Ophthalmic Plastic Surgery, LV Prasad Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad, India. milind@lvpei.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18061134

Citation

Naik, Milind N., et al. "Management of Canalicular Lacerations: Epidemiological Aspects and Experience With Mini-Monoka Monocanalicular Stent." American Journal of Ophthalmology, vol. 145, no. 2, 2008, pp. 375-380.
Naik MN, Kelapure A, Rath S, et al. Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent. Am J Ophthalmol. 2008;145(2):375-380.
Naik, M. N., Kelapure, A., Rath, S., & Honavar, S. G. (2008). Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent. American Journal of Ophthalmology, 145(2), 375-380.
Naik MN, et al. Management of Canalicular Lacerations: Epidemiological Aspects and Experience With Mini-Monoka Monocanalicular Stent. Am J Ophthalmol. 2008;145(2):375-380. PubMed PMID: 18061134.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent. AU - Naik,Milind N, AU - Kelapure,Anagha, AU - Rath,Suryasnata, AU - Honavar,Santosh G, Y1 - 2007/12/03/ PY - 2007/07/23/received PY - 2007/09/10/revised PY - 2007/09/12/accepted PY - 2007/12/7/pubmed PY - 2008/3/21/medline PY - 2007/12/7/entrez SP - 375 EP - 380 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 145 IS - 2 N2 - PURPOSE: To report the epidemiological data, clinical profile, and surgical outcome of canalicular lacerations in an Indian population. DESIGN: Retrospective interventional case series. METHODS: All patients who underwent canalicular laceration repair from July 1, 2002 to June 30, 2005 at a tertiary eye care center were retrospectively reviewed. Demographics, cause of eyelid injury, associated ocular injury, surgical management with Mini-Monoka monocanalicular stent, and its outcome were analyzed. RESULTS: Sixty-six patients underwent eyelid laceration repair, of which 24 (36%) had involvement of the canalicular system. The mean age at presentation was 16 years (range, 10 months to 52 years); 20 (83.3%) patients were males. Mode of injury included the blouse-hook fastener in five (20.8%) breast-feeding infants, bicycle handle injury in four (16.7%) children, and metal rod injury in five (20.8%) adults. Lower canaliculus was involved in 13 (54.1%), upper in eight (33.3%), and both in three (12.5%) patients. Simultaneous globe injury was noted in six (25%) patients, five (83.3%) of which had upper canalicular involvement. Twenty-seven canalicular lacerations (24 patients) underwent stenting with the Mini-Monoka monocanalicular stent. Three (11.1%) stents extruded within one month. At the final follow-up (mean, 18.5 months), canalicular block was noted in two (10%) out of 20 patients; none had epiphora. CONCLUSION: Canalicular involvement occurs in 36% of eyelid injuries. Injury by the "blouse-hook fastener" is unique to infants in the Indian context. Simultaneous globe injury is present in 25% of cases, especially when the upper canaliculus is involved. Mini-Monoka stent extrusions occur within one month. With an 11.1% extrusion rate, Mini-Monoka stents achieved good anatomical (90%) and functional (100%) success in the management of canalicular injury. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/18061134/Management_of_canalicular_lacerations:_epidemiological_aspects_and_experience_with_Mini_Monoka_monocanalicular_stent_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(07)00809-4 DB - PRIME DP - Unbound Medicine ER -