Outcomes of canalicular tear repair using a Mini-Monoka silicone stent: Results from a tertiary care centre
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2017, Vol 3, Issue 4
Abstract
Aim: To evaluate the outcomes of canalicular tear repair performed by using self-retaining monocanalicular Mini-Monoka silicone stent. Setting: Retrospective study at a tertiary referral centre. Materials and Methods: 20 patients who underwent surgical repair for canalicular laceration using Mini Monoka silicone stent from April 16 to July 17 were reviewed. Apart from demographic data, the mode of injury, injury location, complications and outcomes were analysed. Patients were followed up. Results: The mean age of the patients was 28 years (range 2–66 years), 17 patients (85%) had involvement of the lower canaliculus. The most common cause of canalicular tear was road traffic accident in 10 patients (50%) followed by projectile- object 5(25%), blouse hook injury during breast feeding-3 (15%), Metal rod and dog bite – accounting for 1 (5%) cases each. All cases were operated within 24 hours of injury with insertion of Mini Monoka stent. Stent removal was done at 6 weeks. At last follow up, 19/20 cases had functional and anatomical success in terms of absence of epiphora & patent syringing. One case reported with stent extrusion and subsequently developed canalicular obstruction and epiphora. No other long term stent related complications were noted. Conclusions: Early (within 24 hours) repair of canalicular tears with a self-retaining Mini Monoka silicone stent gives good success rates with anatomical and functional success.
Authors and Affiliations
Nayana Potdar, Shruti Shirwadkar, Amol Ganvir, Swaranjali Gore, Chhaya Shinde
Keywords
Related Articles
- EP ID EP293312
- DOI 10.18231/2455-8478.2017.0070
- Views 105
- Downloads 0
Congenital hypertrophy of retinal pigment epithelium presenting as incidental finding in a middle aged woman
Introduction Retinal Pigment epithelial hypertrophy are uncommon benign epithelial malformation characterised by typical fundus findings which is almost always congenital in nature RPE hypertrophy occurs in three varieti...
Survey of patients with presentation of ptosis in ophthalmic-plastic subspecialty clinic
Ptosis may interfere with normal development of vision in children and activities of daily living when the field of vision is impaired in adults. Purpose: To find out the incidence and pattern of ptosis with associated v...
A randomized control trial comparing the efficacy of fibrin glue with sutures in primary pterygium surgery
Background: Pterygium is one of the most common ophthalmic problems encountered worldwide .Studies have shown reduced recurrence rate following the use of conjunctival autograft in primary pterygium surgery. Our study co...
Associated systemic and ocular anomalies in patients with congenital anophthalmos or microphthalmos
Congenital anophthalmos and microphthalmos ere aree clinical conditions that results due to abnormalities in development of eye. These conditions may present unilaterally, bilaterally. A large number of these patients ha...
Apocrine adenocarcinoma arising in the Gland of Moll – a brief clinico-pathological case report
A 85 year old lady came with a recurrent eyelid swelling since last 5 years with a previous history of surgery at the same site. The present swelling was excised and sent for histopathological examination. Apocrine adeno...