Clinical Experiences on Patients with Canalicular Laceration

Yi, One Young; Jung, Nak Hong

Abstract

We reviewed retrospectively 51 cases of patients with canalicular laceration from March 1994 to April 1999 about the patient characteristics, associated ocular injuries and other clinical informations through medical records. The injuries were most commonly occurred between the age of 20 to 39(27cases, 52.9%). The most common cause of injury was due to violence by kick or fist blow(26 cases, 51%), and accidental injuries by sharp-pointed objects in all cases under the age of 10(5 cases, 9.8%). Most cases have occurred to the lower eyelid(41, 80.4%), 6 cases(11.8%)to upper lid, and 4 cases(7, 8%)to both upper and lower lids. The right side was involved in 34 patient(66.7%), whereas the left side was involved in 17 patients(33.3%). While reviewing the used materials in canalicular repair, canaliculoplasty was not performed in 11 patients(21.6%)due to various reasons, Mini-Monoka was used in 34 patients(66.7%)and bicanalicular stent in 7 patients(13.7%). The increased incidence of epiphora was noted in those cases with notrepaired canalicular laceration, early protrusion of stent, and incomplete anatomical repair of lid margin and medial canthal angle due to extensive injury.