Minimonoka Stent for Canalicular Reconstruction

• Main Authors: Sunil G Biradar, Darshanakumar U Kansara
• Format: Article
• Language: English
• Published: Krishna Institute of Medical Sciences University 2015-04-01
• Series: Journal of Krishna Institute of Medical Sciences University
• Subjects: lid trauma; canalicular lacerations; epiphora; Mini-Monoka monocanalicular stent.
• Online Access: http://jkimsu.com/jkimsu-vol4no2/JKIMSU,Vol.4,No.2,April-June2015Page65-69.pdf
• ISSN: 2231-4261; 2231-4261

Objective: Canalicular injuries are relatively common and accounts for 16-26% of all lid tears. There are different techniques for reconstructing traumatic canalicular lacerations. The most favorable intervention would be one that is simple, less invasive with reduced postoperative complications/recovery time. The aim of this study is to report the surgical outcome with the Mini-Monoka monocanalicular stent. Material and Methods: Patients with traumatic canalicular lacerations who underwent surgical reconstruction using the Mini-Monoka monocanalicular stent were included. The surgical outcome was based on subjective (epiphora) and objective (tear meniscus level, and lacrimal irrigation) findings after stent removal. Result: Ten patients (mean age: 9.7 years) of lower canaliculus injury were included. Successful stenting was accomplished in all cases. Postoperative eyelid position was satisfactory in most patients. The mean postoperative follow-up period was 6 months. There were no cases of premature stent extrusion. Functional drainage after stent removal was normal in all of patients. Syringing showed full patency. Conclusion:The MiniMonoka monocanalicular stent is an effective tool in reconstructing traumatic canalicular lacerations. Easy to use, carries a minimal risk of infection and injury to the non-lacerated canaliculus, and results in high anatomical and functional success rates.