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Type: Journal article
Title: Canalicular lacerations: Repair with the Mini-Monoka (R) monocanalicular intubation stent
Author: Leibovitch, I.
Kakizaki, H.
Prabhakaran, V.
Selva-Nayagam, D.
Citation: Ophthalmic Surgery, Lasers and Imaging, 2010; 41(4):472-477
Publisher: Slack, Inc
Issue Date: 2010
ISSN: 1542-8877
Statement of
Igal Leibovitch, Hirohiko Kakizaki, Venkatesh Prabhakaran and Dinesh Selva
Abstract: BACKGROUND AND OBJECTIVE There are different techniques for reconstructing traumatic canalicular lacerations. The aim of this study is to report the surgical outcome with the Mini-Monoka monocanalicular stent (FCI Ophthalmics, Issy-Les Moulineaux, France). PATIENTS AND METHODS Patients with traumatic canalicular lacerations who underwent surgical reconstruction using the Mini-Monoka monocanalicular stent were included. The surgical outcome was based on subjective (epiphora) and objective (tear meniscus level, dye disappearance test, and lacrimal irrigation) findings after stent removal. RESULTS Nineteen patients (15 males, 4 females; mean age: 34 years) were included. The upper canaliculus was injured in 5 cases and the lower in 14 cases. Successful stenting was accomplished in all cases. Postoperative eyelid position was satisfactory in most patients. The mean period of stenting was 5 months and the mean postoperative follow-up period was 13 months. There were no cases of premature stent extrusion. Functional drainage after stent removal was normal in 94.7% of patients. Syringing showed full patency with no narrowing or reflux. CONCLUSION The Mini-Monoka monocanalicular stent is an effective tool in reconstructing traumatic canalicular lacerations. It is easy to use, carries a minimal risk of injury to the non-lacerated canaliculus, and results in high anatomical and functional success rates.
Keywords: Eyelids
Lacrimal Apparatus
Eye Injuries, Penetrating
Treatment Outcome
Ophthalmologic Surgical Procedures
Retrospective Studies
Middle Aged
Rights: Copyright © 2010 SLACK Incorporated. All Rights Reserved
DOI: 10.3928/15428877-20100525-05
Appears in Collections:Aurora harvest
Opthalmology & Visual Sciences publications

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