Clinical Experience of Lacrimal Canalicular Injury with Using Mini Monoka Tube

Lee, Min Woo; Jung, Jae Hak; Kim, Young Hwan; Sun, Hook

Abstract

Reconstruction of lacrimal canalicular laceration has the difficulty to plastic surgeon due to the golden time. Many treatment methods have been developed, but they often ended up with treatment failure because of the difficulty in isolation of proximal segment of laceration canaliculi and the post-operative development of scar adhesion. Recently, silicone tube is the most widely used material in the canalicular reconstruction. Generally silicone tube is used with pigtail probe or stainless steel probe. However sometimes it affects normal punctum and the normal eyelid soft tissue. So, We have tried to reduce such problem by using mini monoka. Mini monoka is easily controlled, has no aesthetic problem, as well as easily removed, and has less foreign body sensation. We were treated with 10 case of canalicular laceration alternative silicone tube (Mini monoka). In conclusion, this method was easier to control than any other silicone tube intubation methods and also saved some time, no corneal irritation sign, any other complications. Mini monoka tube was superior to result of other silicone tube intubation methods.