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
Full text not available from this repository.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 | ||||||||||||||||||||||||||||||||||||||||
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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 | ||||||||||||||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/47271 |
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