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Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs?
PURPOSE: The aim is to analyze the influence of the location of lacrimal canalicular laceration over the eventual anatomical and functional success after surgery. METHODS: Retrospective, observational study of proximal canalicular laceration (PCL) and distal canalicular laceration (DCL) repairs by a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700577/ https://www.ncbi.nlm.nih.gov/pubmed/29133635 http://dx.doi.org/10.4103/ijo.IJO_499_17 |
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author | Singh, Manpreet Gautam, Natasha Ahir, Nitasha Kaur, Manpreet |
author_facet | Singh, Manpreet Gautam, Natasha Ahir, Nitasha Kaur, Manpreet |
author_sort | Singh, Manpreet |
collection | PubMed |
description | PURPOSE: The aim is to analyze the influence of the location of lacrimal canalicular laceration over the eventual anatomical and functional success after surgery. METHODS: Retrospective, observational study of proximal canalicular laceration (PCL) and distal canalicular laceration (DCL) repairs by a single surgeon (MS). The distance between lacrimal punctum and the lateral canalicular lacerated end was defined as proximal (<6 mm) and distal (≥6 mm). The operation theater setup, microscopic magnified view, local adrenaline, and pigtail probe were used to locate the medial canalicular lacerated end. All patients underwent lacrimal stenting and the stents were removed after 3 months (12(th) week visit). After stent removal, a fluorescein dye disappearance test and lacrimal irrigation were performed to assess the anatomical and functional success of the operation. RESULTS: Of 36 canalicular lacerations, 30 (83.33%) were monocanalicular lacerations which were repaired using monocanalicular stents. Of 6 (16.67%) bicanalicular lacerations, three were repaired using bicanalicular stents while in the remaining three, one monocanalicular stent was placed in each lacerated canaliculi. The medial cut end was identified by magnified visualization in 27 (75%), with adjunctive local adrenaline in four (11.11%) and pigtail probe in five (13.89%) patients. The mean post stent removal follow-up was 44 weeks. The DCL (n = 24, 66.67%) showed better functional and complete success as compared to PCL (75% vs. 33.33%, P = 0.03). Eight (22.22%) had spontaneous stent extrusion, two (5.56%) had loop prolapse, four (11.11%) had punctum granuloma, and three (8.33%) had medial canthus dystopia. CONCLUSION: The location of canalicular laceration may help to prognosticate the functional and qualified success rate. We experienced better-qualified success in the distal canalicular laceration group. |
format | Online Article Text |
id | pubmed-5700577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57005772017-12-01 Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? Singh, Manpreet Gautam, Natasha Ahir, Nitasha Kaur, Manpreet Indian J Ophthalmol Original Article PURPOSE: The aim is to analyze the influence of the location of lacrimal canalicular laceration over the eventual anatomical and functional success after surgery. METHODS: Retrospective, observational study of proximal canalicular laceration (PCL) and distal canalicular laceration (DCL) repairs by a single surgeon (MS). The distance between lacrimal punctum and the lateral canalicular lacerated end was defined as proximal (<6 mm) and distal (≥6 mm). The operation theater setup, microscopic magnified view, local adrenaline, and pigtail probe were used to locate the medial canalicular lacerated end. All patients underwent lacrimal stenting and the stents were removed after 3 months (12(th) week visit). After stent removal, a fluorescein dye disappearance test and lacrimal irrigation were performed to assess the anatomical and functional success of the operation. RESULTS: Of 36 canalicular lacerations, 30 (83.33%) were monocanalicular lacerations which were repaired using monocanalicular stents. Of 6 (16.67%) bicanalicular lacerations, three were repaired using bicanalicular stents while in the remaining three, one monocanalicular stent was placed in each lacerated canaliculi. The medial cut end was identified by magnified visualization in 27 (75%), with adjunctive local adrenaline in four (11.11%) and pigtail probe in five (13.89%) patients. The mean post stent removal follow-up was 44 weeks. The DCL (n = 24, 66.67%) showed better functional and complete success as compared to PCL (75% vs. 33.33%, P = 0.03). Eight (22.22%) had spontaneous stent extrusion, two (5.56%) had loop prolapse, four (11.11%) had punctum granuloma, and three (8.33%) had medial canthus dystopia. CONCLUSION: The location of canalicular laceration may help to prognosticate the functional and qualified success rate. We experienced better-qualified success in the distal canalicular laceration group. Medknow Publications & Media Pvt Ltd 2017-11 /pmc/articles/PMC5700577/ /pubmed/29133635 http://dx.doi.org/10.4103/ijo.IJO_499_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Singh, Manpreet Gautam, Natasha Ahir, Nitasha Kaur, Manpreet Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title | Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title_full | Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title_fullStr | Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title_full_unstemmed | Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title_short | Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
title_sort | is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700577/ https://www.ncbi.nlm.nih.gov/pubmed/29133635 http://dx.doi.org/10.4103/ijo.IJO_499_17 |
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