Canalicular laceration repair

What is canalicular laceration? How long does canalicular laceration take? Canalicular trauma is best evaluated by a physician experienced in the repair of canalicular lacerations.

Members of the American Society of Ophthalmic Plastic and Reconstructive Surgery ( ASOPRS ) are qualified to perform even complex repair of the lacrimal drainage system. Although canalicular lacerations very proximal. The area medial to the laceration is inspected where the cut end of the canaliculus is identified.

A Crawford stent is the placed through the punctum and retrieved from the cut end of the canaliculus. The stent is then placed through the cut end of the canaliculus and advanced to palpate a hard stop. Surgical technique Repair of canalicular lacerations begins with locating the cut ends of the canaliculus (Figures and 2). This is often the most dif- ficult part of the procedure, regardless of the technique employed. In most instances, direct visualization with loupe magnification is adequate.

After the canaliculus has been repaired , the remainder of the laceration is repaired. Usually this can be performed with the same 7-vicryl suture. Permanent sutures in this area can be uncomfortable for the patient.

Patients were divided into groups according to the surgical timing within hours (early) or after hours (delayed).

The anatomic were compared between these groups. Figure 3: Completing repair of canalicular laceration. A) The pigtail probe is passed into the punctum of the injured side. The probe exits through the lacerated canaliculus within the wound. B) The distal end of the same 6-Nylon is now threaded through the eye of the pigtail probe and the probe is withdrawn.

Demographics, cause of eyelid injury. Once any form of open globe injury has been ruled out, the wound should be immediately irrigated with water or saline. This video demonstrates repair of a right upper lid canalicular laceration. I like to inspect the area first with a cotton tip applicator to see if the cut ends of the canaliculus can be identified.

Some people like to use fluorescein, some like to use viscoelastic, but I think that careful inspection will reveal the cut ends of the canaliculus. As with the previous metho this presented method does not require tying of the silicone tube with stitches, in which knots may irritate and damage the lacrimal passage lumen or become untied. The primary repair was defined as the first operation proceeded within hours after injury. Revisional repairs were performed in patients who underwent primary repair of canalicular laceration and subsequently complained of epiphora with canalicular block owing to peripheral scarring.

The lacerations can involve the upper. In a tertiary care setting, an attending surgeon with subspecialty training in oculoplastic surgery should participate in the canalicular laceration repair to maximize the success rate. Performing the repair in the operating room rather than a minor procedure room setting may further improve the patient outcomes.

Conclusion: The overall success of canalicular laceration repair is good. However, the setting of repair and level of training greatly affect the success of repair.

Right Lower Eyelid Canalicular Laceration with Severe Eye Injury (hyphema, inferior iridodialysis), Male, years old. Before Repair showing notch in inner aspect. That is to say, if the laceration is on the lower canaliculus, you inject fluid through the upper punctum, such as Kenalog or fluorescein dye, et cetera, and see where it comes out.