gms | German Medical Science

104th DOG Annual Meeting

21. - 24.09.2006, Berlin

Wound opening with a Mini MonoKa®

Meeting Abstract

  • M. Halhal - Department of Ophthalmology, Centre Hospitalier Intercommunal de Villeneuve Saint-Georges, France
  • X. Morel - Department of Ophthalmology, Hôtel-Dieu de Paris, Paris, France
  • D. Monnet - Departement of Ophthalmology, Hôpital Cochin, Paris, France
  • J. M. Ruban - Department of Ophthalmology, Hôpital Edouard-Herriot, Lyon, France
  • B. Fayet - Department of Ophthalmology, Hôtel-Dieu de Paris, Paris, France

Deutsche Ophthalmologische Gesellschaft e.V.. 104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft (DOG). Berlin, 21.-24.09.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06dogSA.16.10

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2006/06dog395.shtml

Published: September 18, 2006

© 2006 Halhal et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


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.