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IP International Journal of Ocular Oncology and Oculoplasty


Outcomes of canalicular tear repair using a Mini-Monoka silicone stent: Results from a tertiary care centre


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Author Details: Nayana Potdar, Shruti Shirwadkar, Amol Ganvir, Swaranjali Gore, Chhaya Shinde

Volume : 3

Issue : 4

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 261

Article End Page : 264


Abstract

Aim: To evaluate the outcomes of canalicular tear repair performed by using self-retaining monocanalicular Mini-Monoka silicone stent.
Setting: Retrospective study at a tertiary referral centre.
Materials and Methods: 20 patients who underwent surgical repair for canalicular laceration using Mini Monoka silicone stent from April 16 to July 17 were reviewed. Apart from demographic data, the mode of injury, injury location, complications and outcomes were analysed. Patients were followed up.
Results: The mean age of the patients was 28 years (range 2–66 years), 17 patients (85%) had involvement of the lower canaliculus. The most common cause of canalicular tear was road traffic accident in 10 patients (50%) followed by projectile- object 5(25%), blouse hook injury during breast feeding-3 (15%), Metal rod and dog bite – accounting for 1 (5%) cases each. All cases were operated within 24 hours of injury with insertion of Mini Monoka stent. Stent removal was done at 6 weeks. At last follow up, 19/20 cases had functional and anatomical success in terms of absence of epiphora & patent syringing. One case reported with stent extrusion and subsequently developed canalicular obstruction and epiphora. No other long term stent related complications were noted.
Conclusions: Early (within 24 hours) repair of canalicular tears with a self-retaining Mini Monoka silicone stent gives good success rates with anatomical and functional success.

Keywords: Canalicular laceration, Eyelid trauma, Epiphora, Mini Monoka Stent.