Minimal Stitch Canalicular Repair of Canalicular Lacerations.
10.3341/jkos.2008.49.5.701
- Author:
Joong Won LEE
1
;
Kwang Su KIM
;
Jung Hoon KANG
Author Information
1. Department of Ophthalmology, College of Medicine, Dongguk University, Gyeongju, Korea. 9pqwer@hanmail.net
- Publication Type:Original Article
- Keywords:
Bicanalicular silicone stent;
Canalicular laceration;
Minimal stitch
- MeSH:
Constriction, Pathologic;
Eye;
Fistula;
Follow-Up Studies;
Humans;
Lacerations;
Polyglactin 910;
Prolapse;
Silicones;
Stents;
Sutures;
Wound Infection
- From:Journal of the Korean Ophthalmological Society
2008;49(5):701-705
- CountryRepublic of Korea
- Language:Korean
-
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.
