J Korean Ophthalmol Soc.  2008 May;49(5):701-705. 10.3341/jkos.2008.49.5.701.

Minimal Stitch Canalicular Repair of Canalicular Lacerations

• Lee JW
• Kim KS
• Kang JH

• KMID: 2211697
• DOI: http://doi.org/10.3341/jkos.2008.49.5.701

Abstract

PURPOSE: To examine the results of minimal stitch on the restoration of tissue after canalicular laceration.
METHODS
We have operated using sutures of tissues around canalicular laceration by inserting bicanalicular silicone stents and minimal horizontal mattress sutures with 8-0 Vicryl in cases of canalicular laceration instead of the existing method for the past 6 years. The ages of patients ranged from 2 to 76 years (average age 39.8+/-17.4 years), with most patients in their thirties (12 patients, 40%), 30 cases underwent canalicular repair with minimal stitch and bicanalicular silicone stent insertion within 24 hours after trauma. The silicone stent was removed 3 months after the operation if the patient did not complain of epiphroa while the canalicular remained open.
RESULTS
Twenty-five eyes (83.3%) showed symptom improvement and good passage in lacrimal syringing test in 4~12 months (average: 6.8+/-2.2 months) of follow-up study. Complications included one case each of fistula formation, stent prolapse, and wound infection, and two cases of canalicular stenosis.
CONCLUSIONS
We recommend this method because of its satisfying success ratio.

Keyword

Bicanalicular silicone stent; Canalicular laceration; Minimal stitch

MeSH Terms

Constriction, Pathologic
Eye
Fistula
Follow-Up Studies
Humans
Lacerations
Polyglactin 910
Prolapse
Silicones
Stents
Sutures
Wound Infection
Polyglactin 910
Silicones

Figure

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  Figure. 1. Schematic depiction of the single 8-0 horizontal mattress sutures, which are passed in the plane immediately anterior to the canaliculus.

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  Figure. 2. Photograph of a 23-year-old male patient who had injured right lower canaliculus. (A) Preoperative photograph. (B) Postoperative photograph 1 month after operation.

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  Figure. 3. The same patient as Figure. 2. (A) Preoperative photograph. An avulsion injury with canalicular laceration was seen near punctum. (B) Postoperative photograph 1 month after operation. The silicone stent was in place and ectropion and entropion did not occur.

Reference

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