gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Repairing Traumatic Inferior Canalicular Lacerations Using a Monocanalicular Stent System.

Meeting Abstract

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  • Shiloh Simons - Stevens Point/USA

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. DocISOTRG2008V053

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Simons.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Periorbital trauma is often the cause canalicular lacerations and these are especially common through the inferior canaliculus in dog bite injuries and altercations. Even minor appearing external injuries must be thoroughly examined and often reveal complete transection of the inferior canaliculus. Re-anastomosing the canaliculus historically has been often considered tedious and poor results can lead to chronic epiphora, cosmetic alterations and the need for future procedures.

Method: Case Series reporting the primary repair of inferior canalicular lacerations using the Monoka Monocanalicuar Stent system.

Results: All three patients, ages 3, 7, and 17 (two dog bite injuries and one altercation injury), in this series had complete repair and proven re-anastomosis of the inferior canaliculus at the time of the initial surgery with minimal surgical time or difficulty, and at one month follow-up with good cosmetic results and no immediate or long term complications.

Conclusion: Inferior canalicular lacerations can be readily and completely repaired at the time of initial surgical repair using a monocanalicular stent system.