Bi, Y., Sui, G., Zhou, Q., Heindl, L. M., Bock, F., Sun, X., Tang, S., Wang, Z. and Cursiefen, C. (2013). Two-step retrograde closed stenting: a novel method for treating canalicular lacerations in Chinese patients. Eye, 27 (11). S. 1275 - 1281. LONDON: NATURE PUBLISHING GROUP. ISSN 1476-5454

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Abstract

Purpose To evaluate the efficacy of two-step retrograde closed stenting for treating canalicular laceration. Methods Forty-eight consecutive canalicular laceration cases (48 eyes) were randomised and divided into two groups: a one-step group and a two-step group. In the two-step group (23 cases), the first step was performed in the outpatient department and included identifying the medial cut end of the canaliculus and probing under a slit-lamp microscope, followed by a retrograde canalicular stenting assisted by a memory titanium stylet. The second step was canalicular anastomosis, which was performed in the operating room. In the one-step group (25 cases), all of the surgical procedures were performed when preoperative preparations were simultaneously available. Results The time elapsed from the doctor visit to the treatment was 4.3 +/- 2.4 h in the two-step group and 18.8 +/- 6.3 h in the onestep group (P<0.01). The canalicular medial cut ends were found in all cases, but 8.6 +/- 3.5 min was needed in the two-step group, and 51.4 +/- 24.2 min was needed in the one-step group (Po0.01). The numerical rating scale for pain during surgery was 1.8 +/- 1.2 in the two-step group and 5.4 +/- 2.2 in the one-step group (P<0.01). One case (2.63%) in the two-step group and nine cases (36%) in the one-step group required other assisted methods to locate the medial cut end (P = 0.007). Twenty-one cases (91.3%) in the two-step group and 20 cases (80%) in the one-step group achieved patent lacrimal drainage systems during Conclusions The two-step canalicular anastomosis method allows an early search for the medial cut end of the canaliculus and improves the chances of finding it; it is also a quicker, less invasive method for treating canalicular lacerations.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bi, Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sui, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhou, Q.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heindl, L. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bock, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sun, X.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tang, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wang, Z.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cursiefen, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-472712
DOI: 10.1038/eye.2013.169
Journal or Publication Title: Eye
Volume: 27
Number: 11
Page Range: S. 1275 - 1281
Date: 2013
Publisher: NATURE PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 1476-5454
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
EPIDEMIOLOGIC ASPECTS; INTUBATION; REPAIRMultiple languages
OphthalmologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/47271

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