Title: Bicanalicular Intubation for Traumatic Unicanalicular Laceration
Purpose:
To asses effective recanalization by bicanalicular intubation using 4-0 prolene material in lower canalicular laceration
Case history:
Two months old female child presented with full thickness left lower lid canalicular laceration caused by bull gore injury. The laceration extended 1 to 2 mm medial to the lower punctum running further vertically down into the lid for about 6 to 8 mm involving the tarso-conjunctival tissue. Retracted and lacerated horizontal lower canaliculus identified by passing canalicular tracker (pigtail probe) through the upper punctum. 4-0 prolene material threaded into the eye of the probe and bicanalicular intubation completed under general anesthesia. The anterior and posterior lacerated lid lamellae repaired with 6.0 vicryl suture material.
Results:
Prolene material removed after 6 weeks and the healing integrity of the anastamosis observed. The child followed up for 3 months. Flurescein stained applicator indicated the patency of the lower lacrimal excretory system.
Conclusion:
The baby child was asymptomatic with no history of epiphora after bicanalicular intubation. Anatomical and physiological canalization achieved with the use of 4-0 prolene material, externally intubated for traumatic unicanalicular laceration. Prolene material can restore the drainage properties of lacrimal canalicular system with no suture related complications.
Key words: Canalicular laceration, Pig-tail probe, Prolene, Intubation, Epiphora.
Introduction:
Canalicular laceration results in disturbing anatomical and physiological architecture of the lacrimal excretory system causing lid malposition and epiphora that occur commonly following ...
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