Monocanalicular intubation with Monoka tubes for the treatment of congenital nasolacrimal duct obstruction

Effectiveness of canalicular laceration repair using monocanalicular intubation with Monoka tubes

“…Monocanalicular intubation with Monoka tubes (FCI Ophthalmics, Issy-les-Moulineaux Cedex, France) is a less invasive alternative to bicanalicular intubation and can avert injury to the uninvolved canaliculus (Kaufman & Guay-Bhatia 1998;Mazzoli et al 2000).…”

Monocanalicular and bicanalicular silicone tube intubation results in patients with congenital nasolacrimal duct obstruction

“…While some authors state that they should stay in the nasolacrimal duct for 4-6 months, other authors suggest that three months is enough. [13,20,21] Migliori et al were able to achieve a 100% success rate in their study by leaving the tubes in place for six weeks. [23] However, the common view is that the success rate is lower when the duration is shorter than two months.…”

“…With monocanalicular silicone tube intubation, Kaufman et al [13] reported a 79% success rate, while using the same method, Goldstein et al [16] reported a 91% success rate in a series of 35 patients. While Fayet and colleagues [31] noted an 85% success rate with monocanalicular intubation applied by different methods (e.g.…”

“…[6,8,[10][11][12] In monocanalicular intubations, placement of the tube in the system can be sufficiently performed by entering only one punctum, where the tube is inserted from the upper and lower punctum in the ventricular intubation. [11,12] One of the most important advantages of the bicanalicular tube is that its surface is flatter [12][13][14] Monocanalicular tubes can cause abrasions or ulcers in the cornea, especially if they are placed in the upper canal and the collar side of the tube is larger. [14] Engel et al, [10] reported conjunctiva or corneal abrasion in 2% of 635 eyes where monocanalicular stapes were placed by upper canaliculus.…”

Lacrimal stents in the lacrimal pathways’ surgery

“…С помощью расши-ренного конца происходит фиксация в области слёзной точки. Однако ряд авторов указывают на невысокую эффективность метода и высокую частоту осложнений, таких как протрузия труб-ки, язва роговицы, миграция трубки в слёзный каналец и преждевременная экстубация [6,44]. Дальнейшее усовершенствование конструкции имплантата позволило достаточно эффективно и безопасно проводить моноканаликулярную ин-тубацию СОП, оставляя интактным второй слёз-ный каналец [34].…”