J Korean Ophthalmol Soc.  2011 Mar;52(3):261-265. 10.3341/jkos.2011.52.3.261.

A Clinical Study Associated with Anatomical and Functional Outcomes in the Repair of Canalicular Laceration

• Kim WJ
• Ahn M

• KMID: 2214288
• DOI: http://doi.org/10.3341/jkos.2011.52.3.261

Abstract

PURPOSE
To identify risk factors influencing the anatomical and functional outcomes of canaliculoplasty in canalicular laceration patients.
METHODS
A retrospective investigation of 122 eyes of 122 patients diagnosed with canalicular laceration and treated in our hospital from January 2000 to October 2008 was conducted. Sex, age, cause and location of laceration, combined injury, preoperative duration, combined operation, duration of follow-up, and anatomical and functional outcomes of canaliculoplasty were investigated.
RESULTS
The mean age of the 122 patients was 41.2 years; 102 (83.6%) were men, and 20 (16.4%) were women. The most common cause and combined injury of laceration was sharp object Injury (20.5%) and orbital wall fracture (14.7%). No statistically significant correlation was found between pretreatment duration, duration of silicone tube insertion, and anatomical outcome. The causes of decreasing functional outcome of canaliculoplasty were traumatic facial nerve palsy, cicatrical entropion and ectropion, and partial canalicular obstruction.
CONCLUSIONS
Repair of a combined eyelid injury close to the normal anatomical structure is an important factor for increasing the functional outcome.

Keyword

Canalicular laceration; Canaliculoplasty; Eyelid injury

MeSH Terms

Ectropion
Entropion
Eye
Eyelids
Facial Nerve
Female
Follow-Up Studies
Humans
Lacerations
Male
Orbit
Paralysis
Retrospective Studies
Risk Factors
Silicones
Silicones

Reference

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