Journal List > J Korean Ophthalmol Soc > v.49(5) > 1008253

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Lee, Kim, and Kang: Minimal Stitch Canalicular Repair of Canalicular Lacerations
Original Article

J Korean Ophthalmol Soc 2008;49(5):701-705.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.5.701

Minimal Stitch Canalicular Repair of Canalicular Lacerations

Joong Won Lee, M.D., Kwang Su Kim, M.D., Jung Hoon Kang, M.D.

Department of Ophthalmology, College of Medicine, Dongguk University, Gyeongju, Korea

Address reprint requests to Kwang Su Kim, M.D. Department of Ophthalmology, College of Medicine, Dongguk University Haspital #1090-1 Sukjang-dong, Gyeongju, Gyengbuk 780-350, Korea Tel: 82-54-770-8256, Fax: 82-54-770-9618, E-mail: 9pqwer@hanmail.net

Received 22 November 2006       Accepted 21 November 2007

Copyright © 2008 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 followup 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.

Keywords: Bicanalicular silicone stent, Canalicular laceration, Minimal stitch

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Figure. 1.
Schematic depiction of the single 8-0 horizontal mattress sutures, which are passed in the plane immediately anterior to the canaliculus.
jkos-49-701f1.tif
Figure. 2.
Photograph of a 23-year-old male patient who had injured right lower canaliculus. (A) Preoperative photograph. (B) Postoperative photograph 1 month after operation.
jkos-49-701f2.tif
Figure. 3.
The same patient as Figure. 2. (A) Preoperative photograph. An avulsion injury with canalicular laceration was seen near punctum. (B) Postoperative photograph 1 month after operation. The silicone stent was in place and ectropion and entropion did not occur.
jkos-49-701f3.tif
Table 1.
Distribution of sex and age
Age Male Female
<20 1 1
21∼30 5 0
31∼40 9 3
41∼50 4 0
51∼60 3 0
60< 3 1
Total 25 5
30
Table 2.
Combined trauma
Combined trauma Upper Lower Both Total
Med. canthal tendon injury 2 9 2 13
Orbital wall fracture 1 3 0 4
Total 3 12 2 17

Upper = upper canalicular laceration; Lower = lower canalicular laceration; Both = upper and lower canalicular laceration.

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