Incidence and Management Techniques of Severed Lacrimal Canaliculi : 11 Years Experience

Issam Al-Batayneh; Thabit Ali Odat; Ahmad Al-Dhoun; Ali Alawneh; Feda’ Ali Al-Smadi; Asma Abdelrhaman Jaradat

doi:10.12816/0023360

Article Details

Incidence and Management Techniques of Severed Lacrimal Canaliculi : 11 Years Experience

Authors:

Issam Al-Batayneh | Thabit Ali Odat | Ahmad Al-Dhoun | Ali Alawneh | Feda’ Ali Al-Smadi | Asma Abdelrhaman Jaradat

Publisher:

Jordanian Medical services - Jordanian Armed Forces

Main Topics:

Medicine

Journal:

Journal of the Royal Medical Services 2016 Vol.23 Issue 1, pp.47-53

Document Type:

Article

Publication Date:

3/2016

Document Language:

English

Document ID (Org No.):

82644

Frequency:

Quarterly

eISSN:

20788711

pISSN:

20788703

DOI:

10.12816/0023360

Descriptors:

Keywords:

Abstract:

 Objectives: To study the incidence and technique for repair of lacrimal canalicular laceration at the Royal Medical Services military hospitals in Jordan.Methods: A retrospective chart review of patients who underwent mono-canalicular or bi-canalicular laceration microscopic repair with or without stenting consecutively between May 2003 and March 2014 at Royal Medical Services Military hospitals was conducted. Collected data included: age, gender, cause of injury, time between injury and surgical treatment, affected canaliculus, other adnexal injury, coexisting ocular injury, type of stent used, duration of stenting, anatomical and functional success after removal of stent.Results: Forty- four patients were included in this study. The mean age was 18.2 years (range 1.5- 63 year). Males represented 88.6% of the patients and females 11.4% with a ratio of 7.8:1. The lower canaliculus was injured in 68.2%, the upper canaliculus in 27.7%, and both upper and lower in 4.5% of cases. Associated ocular injuries were seen in 29.5% of cases. The most common cause of injury was falling down with direct injury to the canaliculus, 47.7%. Mini-Monoka stent was used in 75% and Mono-stent in 25% of cases. Premature stent extrusion was noticed in 18.2% of cases. The stent was removed between 3 and 6 months in 81.8% of cases. All cases had patent lacrimal drainage system after removal of stent. Postoperative epiphora not subjectively annoying to the patient was found in 61.4% of cases. Duration of follow up after stent removal ranged between 3 and 12 months, mean 6.4 months.Conclusion: The study showed that Mono-canalicular stent for canalicular laceration is a suitable alternative to bi-canalicular stent. It is easy to perform, avoids risk of uninvolved canaliculus damage, avoids the nasal manipulation, and has no risk of punctal and canalicular cheese-wiring that lead to upper lacrimal drainage system slitting.

Article Details

Incidence and Management Techniques of Severed Lacrimal Canaliculi : 11 Years Experience

Authors:

Issam Al-Batayneh | Thabit Ali Odat | Ahmad Al-Dhoun | Ali Alawneh | Feda’ Ali Al-Smadi | Asma Abdelrhaman Jaradat

Publisher:

Jordanian Medical services - Jordanian Armed Forces

Main Topics:

Medicine

Journal:

Journal of the Royal Medical Services 2016 Vol.23 Issue 1, pp.47-53

Document Type:

Article

Publication Date:

3/2016

Document Language:

English

Document ID (Org No.):

82644

Frequency:

Quarterly

eISSN:

20788711

pISSN:

20788703

DOI:

10.12816/0023360

Descriptors:

MEDICAL SCIENCES

EYE DISEASES

LACRIMAL SYSTEM

PATIENTS

MILITARY HOSPITALS

JORDAN

Canaliculus Laceration

Mini-Monoka

Mono-Stent

Issues

Article Details

Authors: Issam Al-Batayneh | Thabit Ali Odat | Ahmad Al-Dhoun | Ali Alawneh | Feda’ Ali Al-Smadi | Asma Abdelrhaman Jaradat

Publisher: Jordanian Medical services - Jordanian Armed Forces

Main Topics: Medicine

Journal: Journal of the Royal Medical Services 2016 Vol.23 Issue 1, pp.47-53

Document Type: Article

Publication Date: 3/2016

Document Language: English

Document ID (Org No.): 82644

Frequency: Quarterly

eISSN: 20788711

pISSN: 20788703

DOI: 10.12816/0023360

Descriptors:

Issues

Authors:

Issam Al-Batayneh | Thabit Ali Odat | Ahmad Al-Dhoun | Ali Alawneh | Feda’ Ali Al-Smadi | Asma Abdelrhaman Jaradat

Publisher:

Jordanian Medical services - Jordanian Armed Forces

Main Topics:

Medicine

Journal:

Journal of the Royal Medical Services 2016 Vol.23 Issue 1, pp.47-53

Document Type:

Article

Publication Date:

3/2016

Document Language:

English

Document ID (Org No.):

82644

Frequency:

Quarterly

eISSN:

20788711

pISSN:

20788703

DOI:

10.12816/0023360