A Simple New Method for Identifying the Proximal Cut End in Lower Canalicular Laceration.
- Author:
Sang Hyoung CHO
1
;
Dong Won HYUN
;
Hyo Jeong KANG
;
Myung Sook HA
Author Information
- Publication Type:Original Article
- Keywords: Canalicular lacerations; Canalicular probing; Canalicular reconstruction
- MeSH: Adolescent; Adult; Aged; Child; Diagnostic Techniques, Ophthalmological; Eye Injuries/*radiography/surgery; Eyelids/*injuries; Female; Humans; Intubation/methods; Lacerations/*radiography/surgery; Lacrimal Apparatus/*injuries/radiography/surgery; Male; Middle Aged; Ophthalmologic Surgical Procedures; Time Factors
- From:Korean Journal of Ophthalmology 2008;22(2):73-76
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: We report a simple and effective method of identifying the medial cut end of lower canalicular laceration cases. METHODS: Twenty-seven eyes with lower canalicular lacerations as a result of trauma were involved in the study. Surgery was performed within 48 hours after injury for canalicular reconstruction. Upper canalicular probing was utilized to identify the medial cut end of deep canalicular lacerations when difficulties were encountered. Total time from the initiation of the probing procedure to the identification of the medial cut end of the lower canaliculus was measured. RESULTS: A total of 27 eyes with lower canalicular lacerations were reconstructed. In 20 eyes, the medial lacerated end was located by upper canalicular probing. The mean time from initiation of the probing procedure to identification of the medial cut end of the lacerated canaliculus was 2 minutes. CONCLUSIONS: We conclude that upper canalicular probing in patients with lower canalicular lacerations significantly reduces the time from the initiation of the operation to the identification of the medial cut end of the lower canaliculus.
