Anatomical and functional outcomes of canalicular laceration repair with self retaining mini-MONOKA stent
Autor: | Md. Shahid Alam, Bipasha Mukherjee, Neha Shrirao Mehta |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Canalicular laceration Stent Mean age 030206 dentistry Surgery 03 medical and health sciences Ophthalmology 0302 clinical medicine lcsh:Ophthalmology Stent removal lcsh:RE1-994 030221 ophthalmology & optometry medicine Intubation Mini-MONOKA Original Article Presentation (obstetrics) business Young male |
Zdroj: | Saudi Journal of Ophthalmology, Vol 31, Iss 3, Pp 135-139 (2017) |
ISSN: | 1319-4534 |
Popis: | Aim To evaluate the anatomical and functional outcomes of canalicular laceration repair with self retaining monocanalicular intubation system (Mini-MONOKA). Materials and methods The data of 29 patients undergoing canalicular laceration repair from 2010 to 2014 were retrospectively analyzed. Operative details and complications were noted. The stent was removed earliest at 3months. Anatomical and functional success was defined by a patent syringing and the absence of epiphora respectively. Results Out of 29 patients, 23 (79.3%) were males. Mean age at presentation was 19.3 ±13.8years. Lower canaliculus was involved in 19 (65.5%), upper in 8 (27.5%) and both canaliculi in 2 (6.8%). Ten patients presented later than 11days after trauma (range 12–168days), and repair was attempted successfully in all. Fourteen (48.2%) cases reported for stent removal, at a mean follow-up period of 4.64 ±2.12months. Anatomical success was noted in 12 (85.71%) and functional success in 13 (92.85%) cases. Four patients had stent related complications. Conclusion Canalicular injuries are more common in young males. Mini-MONOKA stents are easy to insert and retrieve, and yield excellent anatomical and functional outcome. Canalicular laceration repair can be attempted successfully irrespective of the delay in presentation. |
Databáze: | OpenAIRE |
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