| Canaliculoplasty using Mini-Monoka(R) in Monocanalicular Injury. |
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Kyung Ha Lee, Wha Sun Chung |
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Department of Ophthalmology, College of Medicine, Yeugnam University, Taegu, Korea. |
| 단누소관 열창에서의 Mini - Monoka(R) 를 이용한 누소관 성형술 |
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| Abstract |
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Sixteen canaliculoplasties using Mini-Monoka(R) were performed for repair of monocanalicalar lacerations. Mini-Monoka(R) was introduced into the dilated punctum and the proximal canaliculus, and passed through the distal end of the canaliculus. End-to-end anastomosis was done with 9-0 Ethylone(spatula needle) or 6-0 Vicryl(round needle). Fixation suture was placed with 6-0 black silk to secure the head portion of Mini-Monoka(R). Removal of the tube was performed 4 months after surgery. After the follow-up period of 6-14 months(mean 9.3 months), fifteen eyes were successful. One eye had intermittent epiphora with canalicular obstruction due to early loss of the tube. Postoperative complications were one case each of punctal slit, punctal granuloma and corneal erosion. The authors suggest that canaliculoplasty using Mini-Monoka(R) is an ideal procedure for repair of monocanalicular laceration. The advantages of this procedure include 1) no damage of the another intact canaliculus, 2) no passage through the nasal cavity, 3) easy technique, 4) short operation time, 5) less discomf ort and 6) cosmetically well acceptable. |
| Key Words:
Canalicular laceration;Canaliculoplasty;Monocanalicular intubation;Mini-Monoka(R) |
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