Management of Canalicular Lacerations: Epidemiological Aspects and Experience with Mini-Monoka Monocanalicular Stent

Naik, Milind N.; Kelapure, Anagha; Rath, Suryasnata; Honavar, Santosh G

doi:10.1016/j.ajo.2007.09.018

Cited by 115 publications

(175 citation statements)

References 20 publications

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“…[10] Naik et al reported in a 24-case series that age range of patients was 10 months to 52 years, with mean age of 16 years. [11] In study conducted by Argın et al [12] in our country, mean age was 21 and age ranged between 1.5 and 64 years. Mean age was 31 years in study reported by Demir et al [13] Similarly, in this study, there was broad age range in patient group composed primarily of young adults (mean age: 31 years).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Aytoğan¹,

Uğurlu²

2016

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Aytoğan¹,

Uğurlu²

2016

Ulus Travma Acil Cerrahi Derg

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“…Herzum et al 7 reported that the average waiting time from canalicular injury to surgery was 3.3 h; in another report, a 32 h waiting period was observed. 8 As time elapses, the canalicular medial cut end gradually becomes more difficult to identify. 5 We reviewed the clinical and histopathologic data from 350 consecutive patients who underwent primary dacryocystorhinostomy and observed that in late surgery, scarred contracted tissues of the lacrimal passage could generate difficulties in creating an anastomosis, and this issue confirmed that early surgery should be undertaken.…”

Section: Resultsmentioning

confidence: 99%

“…[1][2][3][4] When evaluated for invasiveness, the nasal stenting is traditionally considered a more invasive technique because it is usually difficult to clamp the inserted antegrade suture crossing the inferior turbinate out of the inferior meatus, and it often needs to be assisted by an intranasal endoscope. 9,10 Sometimes, this process is time consuming.…”

Section: Resultsmentioning

confidence: 99%

“…This procedure is traditionally followed with canalicular stenting; both procedures are performed concurrently in the operating room, where surgical registration and preparation by the nurses are needed. [1][2][3][4][5] The patients always waited for several hours, or even days, until a nurse, the operating room, and the experienced ophthalmologist were simultaneously available. Experienced ophthalmologists at a large hospital often treat more than one patient at a time, and it is particularly illogical to always ask them to wait for the uncertain emergent surgical schedule during their rest time.…”

Section: Resultsmentioning

confidence: 99%

“…This goal is achieved by meticulous anastomosis and temporary stenting of the separated canalicular cut ends. 2 Another goal is ensuring that the lacrimal punctum is returned to its previous physiological position without secondary eversion or slitting. 3 In situ canalicular anastomosis is also an important precondition for acquiring a normal eyelid position.…”

Section: Introductionmentioning

confidence: 99%

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Two-step retrograde closed stenting: a novel method for treating canalicular lacerations in Chinese patients

Yang

Sui

Zhou

et al. 2013

Eye

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Purpose To evaluate the efficacy of two-step retrograde closed stenting for treating canalicular laceration. Methods Forty-eight consecutive canalicular laceration cases (48 eyes) were randomised and divided into two groups: a one-step group and a two-step group. In the two-step group (23 cases), the first step was performed in the outpatient department and included identifying the medial cut end of the canaliculus and probing under a slit-lamp microscope, followed by a retrograde canalicular stenting assisted by a memory titanium stylet. The second step was canalicular anastomosis, which was performed in the operating room. In the one-step group (25 cases), all of the surgical procedures were performed when preoperative preparations were simultaneously available. Results The time elapsed from the doctor visit to the treatment was 4.3 ± 2.4 h in the two-step group and 18.8±6.3 h in the onestep group (Po0.01). The canalicular medial cut ends were found in all cases, but 8.6 ± 3.5 min was needed in the two-step group, and 51.4±24.2 min was needed in the one-step group (Po0.01). The numerical rating scale for pain during surgery was 1.8 ± 1.2 in the two-step group and 5.4 ± 2.2 in the one-step group (Po0.01). One case (2.63%) in the two-step group and nine cases (36%) in the one-step group required other assisted methods to locate the medial cut end (P ¼ 0.007). Twenty-one cases (91.3%) in the two-step group and 20 cases (80%) in the one-step group achieved patent lacrimal drainage systems during a 12-month follow-up (P ¼ 0.528). ConclusionsThe two-step canalicular anastomosis method allows an early search for the medial cut end of the canaliculus and improves the chances of finding it; it is also a quicker, less invasive method for treating canalicular lacerations.

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Asymptomatic stones in the lacrimal canaliculus

Zhang,

Xu,

Qin

et al. 2023

Clinical Case Reports

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Key Clinical MessageAsymptomatic lacrimal canaliculus stones causing many stones without symptoms are rare. The patient recovered well within a week after dacryolith removal. This diagnosis is prevalent in this age group. However, asymptomatic nasolacrimal obstruction should be considered.AbstractDacryoliths, also known as symptomatic stones, are frequently observed in the lacrimal drainage system. These stones manifest through symptoms such as conjunctivitis, discharge, and epiphora. Nevertheless, the occurrence of numerous stones in the lacrimal canaliculus, in the absence of apparent symptoms, is uncommon. In this study, we present a case with the presence of several stones within the inferior lacrimal canaliculus. A female patient, aged 74, appeared with bilateral senile cataracts and was scheduled for cataract surgery. During a standard ocular examination, it was observed that the tear meniscus height in the left eye had a greater magnitude compared with the right eye. Canaliculitis with dacryolith was verified using a series of diagnostic procedures, including physical inspection, fluorescent dye disappearance test, palpation, 50 Mhz ultrasound biomicroscope scan, and irrigation of the lacrimal canaliculi. Upon surgical investigation, the canaliculus obstruction was confirmed, characterized by the existence of many tiny dacryolith formations inside the inferior canalicular system. Following the surgical excision of the dacryoliths, the patient experienced a full remission within a week. While it is common for individuals in this age range to receive this diagnosis, it is important to consider silent nasolacrimal blockage as a potential alternative diagnosis. It is important to note that the presence of dacryoliths in the lacrimal drainage system might manifest independently of conjunctivitis. No discernible risk indicators were found in relation to the aforementioned patient.

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Management of Canalicular Lacerations: Epidemiological Aspects and Experience with Mini-Monoka Monocanalicular Stent

Cited by 115 publications

References 20 publications

Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Two-step retrograde closed stenting: a novel method for treating canalicular lacerations in Chinese patients

Asymptomatic stones in the lacrimal canaliculus

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