Download PDF
Facial Plast Surg 2007; 23(3): 149-155
DOI: 10.1055/s-2007-984553
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Direct Repair of Canalicular Lacerations

David A. Della Rocca1 , 2 , 4 , Syed M. Ahmad2 , Robert C. Della Rocca1 , 2 , 3
  • 1Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York
  • 2Department of Ophthalmology, St. Luke's-Roosevelt Hospital Center, New York, New York
  • 3Department of Ophthalmology, New York Medical College, New York, New York
  • 4Lawrence Hospital. Bronxville, New York
Further Information

Publication History

Publication Date:
10 August 2007 (online)

    Permissions and Reprints

ABSTRACT

Injury and disruption of the canaliculi of the lacrimal excretory system commonly occur from laceration or shearing trauma. This type of injury will likely lead to dysfunction of tear flow from the palpebral sulcus and chronic epiphora. The goal of this article is to give a step-by-step review of canalicular repair.

KEYWORDS

Repair of canalicular laceration - repair of eyelid laceration - eyelid trauma

REFERENCES

  • 1 Smith B. Late bilateral naso-orbital fracture and dacryostenosis.  Trans Am Acad Ophthalmol Otolaryngol. 1972;  76 1378-1379
    PubMedGoogle Scholar
  • 2 Stranc M F. The pattern of lacrimal injuries in naso-ethmoid fractures.  Br J Plast Surg. 1970;  23 339-346
    CrossrefPubMedGoogle Scholar
  • 3 Lemke B N, Della Rocca R C. The eyelids; medial canthal tendon: anatomy and surgery. Norwalk, CT; Appleton & Lange 1990: 199-202
    Google Scholar
  • 4 Shovlin J P, Lemke B N. Clinical eyelid anatomy. In: Bosniak S Principle and Practice of Ophthalmic Plastic and Reconstructive Surgery. Philadelphia; W.B. Saunders 1996: 261-280
    Google Scholar
  • 5 Hooper R S. Orbital complication of head injury.  Br J Surg. 1951;  39 126-138
    PubMedGoogle Scholar
  • 6 King A B, Walsh F B. Trauma to the head with particular reference to the ocular signs. Part I: injuries involving the cranial nerves.  Am J Ophthalmol. 1949;  32 191-205
    PubMedGoogle Scholar
  • 7 Milauskas A T, Fueger G F. Serious ocular complication associated with blow-out fractures of the orbit.  Am J Ophthalmol. 1966;  62 670-672
    PubMedGoogle Scholar
  • 8 Miller G R, Tenzel R R. Ocular complication of mid-facial fractures.  Plast Reconstr Surg. 1967;  39 37-42
    CrossrefPubMedGoogle Scholar
  • 9 Holt J E, Holt R, Blodgett J M. Ocular injuries sustained during blunt facial trauma.  Ophthalmology. 1983;  90 14-18
    CrossrefPubMedGoogle Scholar
  • 10 Leipziger L S, Manson P N. Nasoethmoid orbital fractures.  Clin Plast Surg. 1992;  19 167-193
    PubMedGoogle Scholar
  • 11 Lindsey J T. Lacrimal duct injuries revisited: a retrospective review of six patients.  Ann Plast Surg. 2000;  44 167-172
    PubMedGoogle Scholar
  • 12 Adenis J P. Management of canalicular trauma.  Eye. 1988;  2 223-225
    PubMedGoogle Scholar
  • 13 Duvall A J, Foster D A, Lyons D P et al.. Medial canthoplasty: early and delayed repair.  Laryngoscope. 1981;  91 173-183
    PubMedGoogle Scholar
  • 14 Wulc A E, Arterberry J F. The pathogenesis of canalicular laceration.  Ophthalmology. 1991;  98 1243-1249
    PubMedGoogle Scholar
  • 15 Keith C G. Intubation of the lacrimal passages.  Am J Ophthalmol. 1968;  65 70-74
    PubMedGoogle Scholar
  • 16 Lauring L. Silicone intubation of the lacrimal system: pitfalls, problem and complication.  Ann Ophthalmol. 1976;  8 489-498
    PubMedGoogle Scholar
  • 17 MacGillivray R F, Stevens M R. Primary surgical repair of traumatic lacerations of the lacrimal canaliculi.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;  81 157-163
    CrossrefPubMedGoogle Scholar
  • 18 Leone C R. Periorbital trauma.  Int Ophthalmol Clin. 1995;  35 1-24
    PubMedGoogle Scholar
  • 19 Hawes M J, Segrest D R. Effectiveness of bicanalicular silicone intubation in the repair of canalicular lacerations.  Ophthal Plast Reconstr Surg. 1985;  1 185-190
    CrossrefPubMedGoogle Scholar
  • 20 Kersten R C, Kulwin D R. “One stitch” canalicular repair: a simplified approach for repair of canalicular laceration.  Ophthalmology. 1996;  103 785-789
    PubMedGoogle Scholar
  • 21 Reed S, Lissner G. Clinical study on the effectiveness of tear drainage with a single canalicular system under environmental stress.  Ophthal Plast Reconstr Surg. 1993;  9 27-31
    PubMedGoogle Scholar

SUGGESTED READINGS

  • 22 Della Rocca D A, Ahmad S, Preechawi P, Schaefer S D, Della Rocca R C. Atlas of Lacrimal Surgery: Nasolacrimal System Injuries. Berlin, Germany; Springer 2007: 91-103
    Google Scholar
  • 23 Della Rocca R C, Bedrossian E H, Arthurs B P. Ophthalmic Plastic Surgery: Decision Making and Techniques. New York; McGraw Hill 2002 25-41 165-179 153-161
    Google Scholar

David A Della RoccaM.D. 

310 East 14th Street

New York, NY 10003

      >