Journal List > J Korean Ophthalmol Soc > v.50(1) > 1008565

Oh, Byung, Sung, and Myung: Clinical Features Associated With Outcomes of Canalicular Laceration Repair

Abstract

Purpose

To evaluate clinical characteristics and outcome of repair of canalicular laceration with Crawford stent.

Methods

All 40 patients who underwent canalicular laceration repair from 2004 to 2007 in the hospital were retrospectively reviewed. Demographics, cause of canalicular injury, surgical management with Crawford stent, and its outcome were analyzed

Results

Most cases were male with step wound (34 cases 85%). Average age of fourty patients was 41.7 years old. Outcome had varied depending on the time of surgery, the location of laceration, the suture method, the wound condition, and the duration for stent. Maintaining silicone tube more than three months, and surgical approach within forty‐ eight hours resulted in statistically significant results.

Conclusions

The outcome of canalicular laceration was better when surgical approach was done within forty‐ eight hours and silicone tube was maintained more than three months.

References

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Table 1.
Distribution of sex and age
No. of eyes (%)
Gender
Male 34 (85.0)
female 6 (15.0)
Age (year)
0~19 3 (7.5)
20~29 3 (10.0)
30~39 9 (22.5)
40~49 14 (35.0)
50~59 5 (12.5)
60~ 5 (12.5)
Table 2.
Wound status and causes of canalicular laceration
Wound status Clean Causes No. of eyes (%)
Sharp object 13 (32.5)
Dirty
Falling down & slipping 11 (27.5)
Fist 5 (12.5)
Blunt trauma 7 (17.5)
Traffic accident 4 (10.0)
Table 3.
Postoperative result by time to canalicular repair
Success (%) Fail (%)
Within 48 hrs (No.) 35 (94.6) 2 (5.4)
After 48 hrs (No.) 1 (33.3) 2 (66.7)

p=0.022 by Fischer's eexact test; No.=number of eyes.

Table 4.
Postoperative result by time to location of canalicular injury
Success (%) Fail (%)
Upper canaliculus 7 (87.5) 1 (12.5)
Lower canaliculus 21 (75.0) 7 (25.0)
Upper & lower canaliculus 3 (75.0) 1 (25.0)

p=0.846 by Fischer's exact test; No.=number of eyes.

Table 5.
Postoperative result by method of canalicular repair
Success (%) Fail (%)
Direct repair (No.) 13 (92.9) 1 (7.1)
Soft tissue repair (No.) 23 (88.5) 3 (11.5)

p=1.000 by Fischer's exac ct test; No.=numbber of eyes.

Table 6.
Postoperative result by wound status of canalicular laceration
Success (%) Fail (%)
Clean wound (No.) 12 (92.3) 1 (7.7)
Dirty wound (No.) 24 (88.9) 3 (11.1)

p=1.000 by Fischer's exact test; No.=number of eyes.

Table 7.
Postoperative result by time to silicone tube extubation
Success (%) Fail (%)
Within 3 months (No.) 2 (50.0) 2 (50.0)
After 3 months (No.) 34 (94.4) 2 (5.6)

p=0.043 by Fischer's exact test; No.=nummber of eyes.

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