Canaliculoplasty Using MONOKA(R) stent(monocanaliculonasal stent) for Repair of Canalicular Laceration

ABSTRACT

PURPOSE: Surgical effects of canaliculoplasty using Monoka(R) stent were evaluated in 18 cases of monocanalicular laceration. METHODS: Age was ranged from 6 to 57 years(mean 32.7 years), and most injuries occurred at the third and fourth decades. When epiphora was disappeared and irrigation solution was well passed without regurgitation, tube was removed four months following surgery, and the followed from four to twelve months postoperatively. RESULTS: Among 18 eyes, 17 eyes(94.4%) showed an improvement in the symptoms as well as the results of dye disappearance test. Postoperative complications included granuloma of the punctum(1 case) and conjunctival irritation(2 cases). There was no case of premature loss of the tube and furthermore some complications of bicanalicular intubation were avoidable with Monoka(R) stent. CONCLUSIONS: In conclusion, monocanaliculonasal intubation with Monoka(R) offers a useful alternative to bicanalicular intubation for the treatment of monocanalicular laceration.