J Korean Ophthalmol Soc.  1995 May;36(5):754-769.

Canaliculoplasty using Mini-Monoka(R) in Monocanalicular Injury

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Yeugnam University, Taegu, Korea.

Abstract

Sixteen canaliculoplasties using Mini-Monoka(R) were performed for repair of monocanalicalar lacerations. Mini-Monoka(R) was introduced into the dilated punctum and the proximal canaliculus, and passed through the distal end of the canaliculus. End-to-end anastomosis was done with 9-0 Ethylone(spatula needle) or 6-0 Vicryl(round needle). Fixation suture was placed with 6-0 black silk to secure the head portion of Mini-Monoka(R). Removal of the tube was performed 4 months after surgery. After the follow-up period of 6-14 months(mean 9.3 months), fifteen eyes were successful. One eye had intermittent epiphora with canalicular obstruction due to early loss of the tube. Postoperative complications were one case each of punctal slit, punctal granuloma and corneal erosion. The authors suggest that canaliculoplasty using Mini-Monoka(R) is an ideal procedure for repair of monocanalicular laceration. The advantages of this procedure include 1) no damage of the another intact canaliculus, 2) no passage through the nasal cavity, 3) easy technique, 4) short operation time, 5) less discomf ort and 6) cosmetically well acceptable.

Keyword

Canalicular laceration; Canaliculoplasty; Monocanalicular intubation; Mini-Monoka(R)

MeSH Terms

Follow-Up Studies
Granuloma
Head
Lacerations
Lacrimal Apparatus Diseases
Nasal Cavity
Postoperative Complications
Silk
Sutures
Silk
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