Korean J Ophthalmol.  2019 Dec;33(6):569-570. 10.3341/kjo.2019.0070.

Bicanalicular Intubation to Repair Canalicular Laceration Guided by 6-0 Prolene with Pigtail Probe

• Jun SY
• Lee BR
• Choi YJ
• Lee SU
• Kim SC

• KMID: 2465137
• DOI: http://doi.org/10.3341/kjo.2019.0070

Abstract

No abstract available.

MeSH Terms

Intubation*
Lacerations*
Polypropylenes*
Polypropylenes

Figure

• 

  Fig. 1 Four steps of 6-0 Prolene guided pigtail probe. (A) The bicanalicular silicone tube intubation set with a guide wire (BVI Visitec, Sydney, Australia). (B) The 6-0 Prolene needle connected with pigtail probe is passed through the tip of silicone tube. (C) A pigtail probe is inserted into the opposite punctum and passed through the medial part of the lacerated canaliculus. Subsequently, a 6-0 Prolene needle is inserted into the hole at the end of the pigtail probe and additionally, that same 6-0 Prolene needle is passed through the tip of silicone tube, which was already inserted into the outer segment of the lacerated canaliculus. (D) The pigtail probe was carefully pulled back through the opposite punctum and resulted in pulling the Prolene suture medially to guide the silicone tube into the medial cut of the lacerated canaliculus. (E) The Prolene on the opposite punctum was pulled extensively to introduce the silicone tube into the lacrimal sac. (F) Once the tube is inserted into the lacrimal sac, the Prolene suture in the opposite side is cut and the silicone tube introduced into the nasolacrimal duct and Hasner's valve. Finally, metal probe is withdrawn from silicone tube.

Reference

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