Clinical effects of three types of silicone intubations in repairing lacerations of canaliculus.
OBJECTIVE
To evaluate the clinical effects of one-passage, double-passage and circular canalicular intubations in repairing lacerations of canaliculus.


METHODS
A total of 109 eyes in 109 cases of canalicular laceration were repaired with three types of silicone intubations, among which 23 with one-passage canalicular intubation, 51 with double-passage canalicular intubation, and 35 with circular canalicular intubation. The average follow-up period was 12-15 months.


RESULTS
The wound/junction of the lacrimal canaliculi was ruptured in 5 cases (9.80%) of the double-passage group, 3 cases (8.57%) of the circular group, and 8 cases (34.78%) of the one-passage group. The rupture incidence of the one-passage group was significantly higher than that of the other two groups (X(2) equal to 9.416, P less than 0.01). During the intubation, canaliculitis was observed in 12 cases (23.53%) of the double-passage group, while only 3 cases (8.57%) in the circular group and 8 cases (34.78%) in the one-passage group. The circular group had significantly lower incidence of canaliculitis than the other two groups (X(2) equal to 6.095, P less than 0.05). After extubation 6 months after laceration repair, the lacrimal passage remained patent with canalicular irrigation in 46 cases (90.20%) in the double-passage group, 30 cases (85.71%) in the circular group and 15 cases (65.22%) in the one-passage group. Six months after surgery, the canalicular patency in the one-passage group was significantly lower than that of the other two groups (X(2) equal to 7.390, P less than 0.05).


CONCLUSIONS
Circular canalicular intubation is more stable and has less surgical complications than the double-passage and one-passage canalicular intubations. It is also more effective clinically 12-15 months after laceration surgery.
Pan
Xiao-Jing
XJ
Department of Ophthalmology, Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China. panxjcrystal36@yahoo.com.cn
Mao
Alex
A
Zhao
Gui-Qiu
GQ
Meng
Xu-Xia
XX
Yang
Shan-Shan
SS
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007440:Intubation; D022125:Lacerations / Q000601:surgery*; D007765:Lacrimal Apparatus / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D012828:Silicones
D012828:Silicones