Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation
Abstract 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 bican...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-020-01506-w |
| _version_ | 1818314780158459904 |
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| author | Tao Guo Xiuhong Qin Hongwei Wang Yang Lu Li Xu Jiali Ji Caiwen Xiao Zhenzhen Zhang |
| author_facet | Tao Guo Xiuhong Qin Hongwei Wang Yang Lu Li Xu Jiali Ji Caiwen Xiao Zhenzhen Zhang |
| author_sort | Tao Guo |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-13T08:55:04Z |
| format | Article |
| id | doaj.art-a063a273adc04b50853d8e10280f4bfd |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-13T08:55:04Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-a063a273adc04b50853d8e10280f4bfd2022-12-21T23:53:18ZengBMCBMC Ophthalmology1471-24152020-06-012011810.1186/s12886-020-01506-wEiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubationTao Guo0Xiuhong Qin1Hongwei Wang2Yang Lu3Li Xu4Jiali Ji5Caiwen Xiao6Zhenzhen Zhang7Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineDepartment of Ophthalmology, First Affiliated Hospital of Dalian Medical UniversityDepartment of Ophthalmology, Jingjiang People’s HospitalDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of MedicineAbstract 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.http://link.springer.com/article/10.1186/s12886-020-01506-wCanalicular lacerationEtiologyPrognosisEpiphora |
| spellingShingle | Tao Guo Xiuhong Qin Hongwei Wang Yang Lu Li Xu Jiali Ji Caiwen Xiao Zhenzhen Zhang Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation BMC Ophthalmology Canalicular laceration Etiology Prognosis Epiphora |
| 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 | Canalicular laceration Etiology Prognosis Epiphora |
| url | http://link.springer.com/article/10.1186/s12886-020-01506-w |
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