Minimal Stitch Canalicular Repair of Canalicular Lacerations.

Lee, Joong Won; Kim, Kwang Su; Kang, Jung Hoon

doi:2008.49.5.701

J Korean Ophthalmol Soc > Volume 49(5); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(5):701-705.
DOI: https://doi.org/10.3341/jkos.2008.49.5.701 Published online May 15, 2008.

Minimal Stitch Canalicular Repair of Canalicular Lacerations.

Joong Won Lee, Kwang Su Kim, Jung Hoon Kang

Department of Ophthalmology, College of Medicine, Dongguk University, Gyeongju, Korea. 9pqwer@hanmail.net

눈물소관 열상의 최소 봉합 눈물소관 복원술

이중원ㆍ김광수ㆍ강정훈

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

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.

Key Words: Bicanalicular silicone stent;Canalicular laceration;Minimal stitch