Lacrimal Trauma and Its Management

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Abstract

Injury of the lacrimal drainage apparatus, usually in the form of canalicular lacerations, are relatively common in periorbital and facial trauma. This is most frequently encountered in otherwise young healthy males, although it may be seen in young children, the women, and the elderly. Less frequently encountered is injury of the nasolacrimal duct, usually in midfacial and naso-orbit-ethmoid (NOE) fractures. The incidence of lacrimal system injuries has been reported to vary from 7 to 20 % depending upon the mechanism of the injury and reporting. Failure to recognize and manage lacrimal injuries is one of the common complications of eyelid/midfacial injuries. We shall herewith outline the predisposing factors and evaluation of the patient and discuss details of principles and mechanisms of management including long-term follow-up.

Keywords

Nasolacrimal Duct Eyelid Margin Nasal Decongestion Nasolacrimal Duct Obstruction Lacrimal System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Herzum H, Holle P, Hintschich C. Eyelid injuries: epidemiological aspects. Ophthalmologe. 2001;98:1079–82.PubMedCrossRefGoogle Scholar
  2. 2.
    Almousa R, Amrith S, Mani AH, et al. Radiological signs of periorbital trauma – the Singapore experience. Orbit. 2010;29:307–12.PubMedCrossRefGoogle Scholar
  3. 3.
    Ali MJ, Gupta H, Honavar SG, et al. Acquired nasolacrimal duct obstructions secondary to naso-orbito-ethmoid fractures: patterns and outcomes. Ophthal Plast Reconstr Surg. 2012;28:242–5.PubMedCrossRefGoogle Scholar
  4. 4.
    Wulc AE, Arterberry JF. The pathogenesis of canalicular laceration. Ophthalmology. 1991;98:1243–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Jordan DR, Ziai S, Gilberg SM, et al. Pathogenesis of canalicular lacerations. Ophthal Plast Reconstr Surg. 2008;24:394–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Naik MN, Kelapure A, Rath S, et al. Management of canalicular lacerations. Epidemiological aspects and experience with mini-monoka canalicular stents. Am J Ophthalmol. 2008;145:375–80.PubMedCrossRefGoogle Scholar
  7. 7.
    Savar A, Kirszrot J, Rubin PA. Canalicular involvement in dog bite related eyelid lacerations. Ophthal Plast Reconstr Surg. 2008;24:296–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Hawes M, Dotzbach R. Trauma of the lacrimal drainage system. In: Linberg J, editor. Lacrimal surgery. New York: Churchill Livingstone; 1988. p. 241–62.Google Scholar
  9. 9.
    Canavan YM, Archer DB. Long term review of injuries to the lacrimal drainage apparatus. Trans Ophthalmol Soc U K. 1979;99:201–4.PubMedGoogle Scholar
  10. 10.
    Reifler DM. Management of canalicular lacerations. Surv Ophthalmol. 1991;36:113–32.PubMedCrossRefGoogle Scholar
  11. 11.
    Ho T, Lee V. National survey on management of canalicular injury in the United Kingdom. Clin Experiment Ophthalmol. 2006;34:39–43.PubMedCrossRefGoogle Scholar
  12. 12.
    Duke-Elder S. The anatomy of the visual system. In: Duke-Elder S, editor. System of ophthalmology. St. Louis: Mosby; 1971. p. 570.Google Scholar
  13. 13.
    Kersten RC, Kulwin DR. ‘One-stitch’ canalicular repair. A simplified approach for repair of canalicular laceration. Ophthalmology. 1996;103:785–9.PubMedCrossRefGoogle Scholar
  14. 14.
    Dingman RD, Grabb WC, Oneal RM. Management of injuries of the naso-orbital complex. Arch Surg. 1969;98:566.PubMedCrossRefGoogle Scholar
  15. 15.
    Mathog RH, Baner W. Post-traumatic pseudohypertelorism (telecanthus). Arch Otolaryngol. 1979;105:81.PubMedCrossRefGoogle Scholar
  16. 16.
    Merville LC, Real JP. Fronto-orbito nasal dislocations: initial total reconstruction. Scand J Plast Reconstr Surg. 1981;15:287.PubMedCrossRefGoogle Scholar
  17. 17.
    Harris GH, Fuerste FH. Lacrimal intubation in the primary repair of midfacial fractures. Ophthalmology. 1987;94:242.PubMedCrossRefGoogle Scholar
  18. 18.
    Gruss JS. Naso-ethmoid-orbital fractures: classification and role of primary bone grafting. Plast Reconstr Surg. 1985;75:303.PubMedCrossRefGoogle Scholar
  19. 19.
    Naik MN, Gupta R, Honavar SG. Bicanalicular laceration managed with two mini-monoka monocanalicular stents. Orbit. 2008;27:135–7.PubMedCrossRefGoogle Scholar
  20. 20.
    Jordan DR, Nerad JA, Tse DT. The pigtail probe revisited. Ophthalmology. 1990;97:512–9.PubMedCrossRefGoogle Scholar
  21. 21.
    Jordan DR, Gilberg S, Mawn LA. The round tipped, eyed pigtail probe for canalicular intubation. A review of 228 patients. Ophthal Plast Reconstr Surg. 2008;24:176–80.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Orbit and Oculofacial SurgeryNational University of SingaporeSingaporeSingapore

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