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Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation
BACKGROUND: To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis. METHODS: The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicula...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310031/ https://www.ncbi.nlm.nih.gov/pubmed/32571261 http://dx.doi.org/10.1186/s12886-020-01506-w |
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author | Guo, Tao Qin, Xiuhong Wang, Hongwei Lu, Yang Xu, Li Ji, Jiali Xiao, Caiwen Zhang, Zhenzhen |
author_facet | Guo, Tao Qin, Xiuhong Wang, Hongwei Lu, Yang Xu, Li Ji, Jiali Xiao, Caiwen Zhang, Zhenzhen |
author_sort | Guo, Tao |
collection | PubMed |
description | BACKGROUND: To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis. METHODS: The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018 were reviewed. The analyzed data contained demographic information, types of trauma, injury locations, associated additional ocular injuries, and surgical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and complications of surgery. RESULTS: The mean patient age was 42.07 years (ranging from 1 to 75 years). Among the 142 patients, 112 (78.87%) were males. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 (78.87%) patients, respectively. Meanwhile, both upper and lower canalicular lacerations were found in 16 (11.27%) patients. Electric bike accidents comprised the leading cause of injury, accounting for 76 (53.52%) cases. There were 100 (70.42%) patients who had lid lacerations without tarsal plate fracture and 42 (29.58%) patients who had lid lacerations with tarsal plate fractures. The anatomic success rate was 98.59% and the functional success rate was 83.8%. The functional reconstruction failure rates were higher in patients with indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting (P < 0.05). Surgical complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, and stent extrusion and loss in 2 (1.41%) patients. CONCLUSIONS: Electric bike accidents have become the leading cause of injury instead of motor vehicle accidents because of the changes in the lifestyles of people. Indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting were significantly more likely to lead to poor prognosis, as confirmed by the lower functional success rate of surgery. |
format | Online Article Text |
id | pubmed-7310031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73100312020-06-23 Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation Guo, Tao Qin, Xiuhong Wang, Hongwei Lu, Yang Xu, Li Ji, Jiali Xiao, Caiwen Zhang, Zhenzhen BMC Ophthalmol Research Article BACKGROUND: To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis. METHODS: The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018 were reviewed. The analyzed data contained demographic information, types of trauma, injury locations, associated additional ocular injuries, and surgical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and complications of surgery. RESULTS: The mean patient age was 42.07 years (ranging from 1 to 75 years). Among the 142 patients, 112 (78.87%) were males. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 (78.87%) patients, respectively. Meanwhile, both upper and lower canalicular lacerations were found in 16 (11.27%) patients. Electric bike accidents comprised the leading cause of injury, accounting for 76 (53.52%) cases. There were 100 (70.42%) patients who had lid lacerations without tarsal plate fracture and 42 (29.58%) patients who had lid lacerations with tarsal plate fractures. The anatomic success rate was 98.59% and the functional success rate was 83.8%. The functional reconstruction failure rates were higher in patients with indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting (P < 0.05). Surgical complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, and stent extrusion and loss in 2 (1.41%) patients. CONCLUSIONS: Electric bike accidents have become the leading cause of injury instead of motor vehicle accidents because of the changes in the lifestyles of people. Indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting were significantly more likely to lead to poor prognosis, as confirmed by the lower functional success rate of surgery. BioMed Central 2020-06-22 /pmc/articles/PMC7310031/ /pubmed/32571261 http://dx.doi.org/10.1186/s12886-020-01506-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Guo, Tao Qin, Xiuhong Wang, Hongwei Lu, Yang Xu, Li Ji, Jiali Xiao, Caiwen Zhang, Zhenzhen Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title | Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title_full | Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title_fullStr | Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title_full_unstemmed | Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title_short | Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
title_sort | eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310031/ https://www.ncbi.nlm.nih.gov/pubmed/32571261 http://dx.doi.org/10.1186/s12886-020-01506-w |
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