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Monocanalicular Stents in Eyelid Lacerations: A Report by the American Academy of Ophthalmology. Ophthalmology 2019 Sep;126(9):1324-1329

Date

04/07/2019

Pubmed ID

30953742

DOI

10.1016/j.ophtha.2019.03.045

Scopus ID

2-s2.0-85064901771 (requires institutional sign-in at Scopus site)   20 Citations

Abstract

PURPOSE: To determine the efficacy and complication rates of monocanalicular stents in the setting of canalicular lacerations.

METHODS: A literature search was performed in May 2018 in the PubMed database to identify all English-language reports of monocanalicular stenting to address canalicular lacerations. Studies that did not include at least 10 patients with at least 3 months of follow-up evaluation after surgery were excluded. Ninety-nine articles were identified, and 15 of these met criteria for data abstraction and were included in this assessment. The panel methodologist (V.K.A.) evaluated the quality of evidence and assigned a level-of-evidence rating to each of these studies.

RESULTS: All 15 studies were rated as level III evidence. Anatomic and functional success rates after surgery ranged from 68% to 100% and 79% to 100%, respectively. Stents were generally well tolerated, although extrusion rates varied from 0% to 29%.

CONCLUSIONS: Only level III evidence was available, and studies were not powered to detect differences between groups for rare complications or failure. Monocanalicular stents seem to be efficacious and well tolerated in the management of canalicular lacerations. Potential complications include extrusion (most commonly), tube displacement, granuloma, ectropion, slit punctum, fistula, and infection. Further comparative studies would help to identify the optimal time for device removal and to directly compare monocanalicular with bicanalicular stents.

Author List

Wladis EJ, Aakalu VK, Tao JP, Sobel RK, Freitag SK, Foster JA, Mawn LA

Author

Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Academies and Institutes
Eye Injuries
Eyelids
Humans
Intubation
Lacerations
Lacrimal Apparatus
Ophthalmologic Surgical Procedures
Ophthalmology
Retrospective Studies
Stents
Technology Assessment, Biomedical
United States