gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Lacrimal surgery after eyelid injuries

Meeting Abstract

Suche in Medline nach

  • Renata Ricarova - Pilsen/Czech Republic
  • M. Jurcukova - Pilsen/Czech Republic

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P12

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/rg2008/08rg154.shtml

Veröffentlicht: 18. Juni 2008

© 2008 Ricarova et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: To evaluate the results of lacrimal surgery after periocular and eyelid injuries.

Methods: This study was an interventional, retrospective case series study that included 31 patients with traumatic injuries of lacrimal system. We retrospectively analyzed the data of 429 patients with periocular and eyelid injuries, who were operated in period from January 2000 to December 2007. There were 31 patients with traumatic injury of lacrimal system. The lower canaliculus was affected twice more (in 13 patients) than the upper canaliculus (in 7 patients). Both canaliculi were involved in 3 patients. Six patients had other lacrimal system injury (lacrimal sac and/or nasolacrimal duct) in association with bony injury (Le Fort II.-III). Reconstructive surgery of canalicular and nasolacrimal duct laceration was performed in 2 patients.

Results: Primary treatment of lacrimal system injuries was performed in 23 patients (74%), canalicular recontruction with temporary silicone intubation in 19 patients (61%). The most of the surgeries were performed in general anaesthesia in time limit to 48 hours. The secondary treatment (endonasal dacryocystorhinostomy with intubation) was performed in 11 patients later than 48 hours after the injury. Success was defined as the resolution of symptoms (epiphora or discharge) and unobstructed lacrimal irrigation. Success rate was 87% (27 of 31 patients). Epiphora with obstructed lacrimal irrigation persisted in 13% (4 of 31 patients).

Conclusions: The complete success rate of lacrimal surgery after the injury was 87%. This study evaluated the importance of early and adequate surgical intervention in the patients with periocular and eyelid injuries.