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Research article
Etiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation
Zhenzhen Zhang
The Ninth People Hospital, ShangHai Jiao Tong University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8657-909X
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Ophthalmology.
Background: To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis.
Methods: The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018 were reviewed. The analyzed data contained demographic information, types of trauma, injury locations, associated additional ocular injuries, and surgical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and complications of surgery.
Results: The mean patient age was 42.07 years (ranging from 1–75 years). Among the 142 patients, 112 (78.87%) were males. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 (78.87%) patients, respectively. Meanwhile, both upper and lower canalicular lacerations were found in 16 (11.27%) patients. Electric bike accidents comprised the leading cause of injury, accounting for 76 (53.52%) cases. There were 100 (70.42%) patients who had lid lacerations without tarsal plate fracture and 42 (29.58%) patients who had lid lacerations with tarsal plate fractures. The anatomic success rate was 98.59% and the functional success rate was 83.8%. The functional reconstruction failure rates were higher in patients with indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting (P<0.05). Surgical complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, and stent extrusion and loss in 2 (1.41%) patients.
Conclusions: Electric bike accidents have become the leading cause of injury instead of motor vehicle accidents because of the changes in the lifestyles of people. Indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting were significantly more likely to lead to poor prognosis, as confirmed by the lower functional success rate of surgery.
Keywords
Canalicular laceration, etiology, prognosis, epiphora
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CURRENT STATUS: Published
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Posted 05 Jun, 2020
No comments provided
Editorial decision: Minor revision
On 22 May, 2020
Review #1 received
Received 16 May, 2020
Reviewer #1 agreed
On 14 May, 2020
Reviewers invited
Invitations sent on 13 May, 2020
Editor assigned
On 27 Apr, 2020
Submission checks complete
On 26 Apr, 2020
Editor invited
On 26 Apr, 2020
No comments provided
Editorial decision: Major revision
On 16 Apr, 2020
Editor assigned
On 06 Apr, 2020
Submission checks complete
On 05 Apr, 2020
Editor invited
On 05 Apr, 2020
No comments provided
Editorial decision: Major revision
On 25 Feb, 2020
Review #1 received
Received 23 Feb, 2020
Editor assigned
On 21 Feb, 2020
Reviewers invited
Invitations sent on 21 Feb, 2020
Reviewer #1 agreed
On 21 Feb, 2020
Submission checks complete
On 20 Feb, 2020
Editor invited
On 20 Feb, 2020
No comments provided
Editorial decision: Major revision
On 11 Jan, 2020
Review #2 received
Received 18 Dec, 2019
Reviewer #2 agreed
On 07 Dec, 2019
Review #1 received
Received 07 Dec, 2019
Reviewer #1 agreed
On 05 Dec, 2019
Reviewers invited
Invitations sent on 04 Dec, 2019
Editor assigned
On 30 Oct, 2019
Submission checks complete
On 29 Oct, 2019
Editor invited
On 29 Oct, 2019
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Subject Areas
Ophthalmology
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This preprint is under consideration at BMC Ophthalmology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Etiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation
Zhenzhen Zhang
The Ninth People Hospital, ShangHai Jiao Tong University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8657-909X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 5
Posted 05 Jun, 2020
No comments provided
Editorial decision: Minor revision
On 22 May, 2020
Review #1 received
Received 16 May, 2020
Reviewer #1 agreed
On 14 May, 2020
Reviewers invited
Invitations sent on 13 May, 2020
Editor assigned
On 27 Apr, 2020
Submission checks complete
On 26 Apr, 2020
Editor invited
On 26 Apr, 2020
No comments provided
Editorial decision: Major revision
On 16 Apr, 2020
Editor assigned
On 06 Apr, 2020
Submission checks complete
On 05 Apr, 2020
Editor invited
On 05 Apr, 2020
No comments provided
Editorial decision: Major revision
On 25 Feb, 2020
Review #1 received
Received 23 Feb, 2020
Editor assigned
On 21 Feb, 2020
Reviewers invited
Invitations sent on 21 Feb, 2020
Reviewer #1 agreed
On 21 Feb, 2020
Submission checks complete
On 20 Feb, 2020
Editor invited
On 20 Feb, 2020
No comments provided
Editorial decision: Major revision
On 11 Jan, 2020
Review #2 received
Received 18 Dec, 2019
Reviewer #2 agreed
On 07 Dec, 2019
Review #1 received
Received 07 Dec, 2019
Reviewer #1 agreed
On 05 Dec, 2019
Reviewers invited
Invitations sent on 04 Dec, 2019
Editor assigned
On 30 Oct, 2019
Submission checks complete
On 29 Oct, 2019
Editor invited
On 29 Oct, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Ophthalmology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Ophthalmology.
Background: To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis.
Methods: The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018 were reviewed. The analyzed data contained demographic information, types of trauma, injury locations, associated additional ocular injuries, and surgical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and complications of surgery.
Results: The mean patient age was 42.07 years (ranging from 1–75 years). Among the 142 patients, 112 (78.87%) were males. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 (78.87%) patients, respectively. Meanwhile, both upper and lower canalicular lacerations were found in 16 (11.27%) patients. Electric bike accidents comprised the leading cause of injury, accounting for 76 (53.52%) cases. There were 100 (70.42%) patients who had lid lacerations without tarsal plate fracture and 42 (29.58%) patients who had lid lacerations with tarsal plate fractures. The anatomic success rate was 98.59% and the functional success rate was 83.8%. The functional reconstruction failure rates were higher in patients with indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting (P<0.05). Surgical complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, and stent extrusion and loss in 2 (1.41%) patients.
Conclusions: Electric bike accidents have become the leading cause of injury instead of motor vehicle accidents because of the changes in the lifestyles of people. Indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting were significantly more likely to lead to poor prognosis, as confirmed by the lower functional success rate of surgery.
Figure 1
Figure 2
Figure 3
Figure 4