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, H˘tel-Dieu de Paris, Paris, France
  • D. Monnet - Departement of Ophthalmology, H˘pital Cochin, Paris, France
  • J. M. Ruban - Department of Ophthalmology, H˘pital Edouard-Herriot, Lyon, France
  • B. Fayet - Department of Ophthalmology, H˘tel-Dieu de Paris, Paris, France

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

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

Published: September 18, 2006

© 2006 Halhal et al.
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.




To describe a complication resulting from misusing the Mini MonoKa« silicone monocanalicular stent.


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.


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.


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.