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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

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Lacrimal surgery after eyelid injuries

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  • 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

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg154.shtml

Published: June 18, 2008

© 2008 Ricarova et al.
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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.