Article
Wound opening with a Mini MonoKa®
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Authors
Published: | September 18, 2006 |
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Outline
Text
Objective
To describe a complication resulting from misusing the Mini MonoKa® silicone monocanalicular stent.
Methods
Case-report of a patient with right lower eyelid laceration who underwent a canalicular stent intervention. Later patient felt pain, and examination revealed a reopening of the wound.
Results
The stem of the Mini MonoKa® was visible and under tension within the wound. Removal of the Mini MonoKa® was required in emergency. An inappropriate lenght of the Mini MonoKa® leads to go beyond the point where common canaliculus connects to the tear sac, takes contact with lacrimal fossa and so, buttressed the probe.
Conclusions
The Mini MonoKa® monocanalicular stent have to go across the site of injury but should not be to long and threaten the unaffected part of the lacrimal drainage system. Mini MonoKa® has to be systematically shortened and adjusted to avoid any contact with lacrimal fossa.