Skip to main content
SpringerLink
Log in

Lacrimal Trauma and Its Management

  • Chapter
  • First Online:
Principles and Practice of Lacrimal Surgery

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 149.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Herzum H, Holle P, Hintschich C. Eyelid injuries: epidemiological aspects. Ophthalmologe. 2001;98:1079–82.

    Article  PubMed  CAS  Google Scholar 

  2. Almousa R, Amrith S, Mani AH, et al. Radiological signs of periorbital trauma – the Singapore experience. Orbit. 2010;29:307–12.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  4. Wulc AE, Arterberry JF. The pathogenesis of canalicular laceration. Ophthalmology. 1991;98:1243–9.

    Article  PubMed  CAS  Google Scholar 

  5. Jordan DR, Ziai S, Gilberg SM, et al. Pathogenesis of canalicular lacerations. Ophthal Plast Reconstr Surg. 2008;24:394–8.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  7. Savar A, Kirszrot J, Rubin PA. Canalicular involvement in dog bite related eyelid lacerations. Ophthal Plast Reconstr Surg. 2008;24:296–8.

    Article  PubMed  Google Scholar 

  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. Canavan YM, Archer DB. Long term review of injuries to the lacrimal drainage apparatus. Trans Ophthalmol Soc U K. 1979;99:201–4.

    PubMed  CAS  Google Scholar 

  10. Reifler DM. Management of canalicular lacerations. Surv Ophthalmol. 1991;36:113–32.

    Article  PubMed  CAS  Google Scholar 

  11. Ho T, Lee V. National survey on management of canalicular injury in the United Kingdom. Clin Experiment Ophthalmol. 2006;34:39–43.

    Article  PubMed  Google Scholar 

  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. Kersten RC, Kulwin DR. ‘One-stitch’ canalicular repair. A simplified approach for repair of canalicular laceration. Ophthalmology. 1996;103:785–9.

    Article  PubMed  CAS  Google Scholar 

  14. Dingman RD, Grabb WC, Oneal RM. Management of injuries of the naso-orbital complex. Arch Surg. 1969;98:566.

    Article  PubMed  CAS  Google Scholar 

  15. Mathog RH, Baner W. Post-traumatic pseudohypertelorism (telecanthus). Arch Otolaryngol. 1979;105:81.

    Article  PubMed  CAS  Google Scholar 

  16. Merville LC, Real JP. Fronto-orbito nasal dislocations: initial total reconstruction. Scand J Plast Reconstr Surg. 1981;15:287.

    Article  PubMed  CAS  Google Scholar 

  17. Harris GH, Fuerste FH. Lacrimal intubation in the primary repair of midfacial fractures. Ophthalmology. 1987;94:242.

    Article  PubMed  CAS  Google Scholar 

  18. Gruss JS. Naso-ethmoid-orbital fractures: classification and role of primary bone grafting. Plast Reconstr Surg. 1985;75:303.

    Article  PubMed  CAS  Google Scholar 

  19. Naik MN, Gupta R, Honavar SG. Bicanalicular laceration managed with two mini-monoka monocanalicular stents. Orbit. 2008;27:135–7.

    Article  PubMed  Google Scholar 

  20. Jordan DR, Nerad JA, Tse DT. The pigtail probe revisited. Ophthalmology. 1990;97:512–9.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orbit and Oculofacial Surgery, National University of Singapore, Singapore, Singapore

    Gangadhara Sundar DO, FRCSEd, FAMS

Authors
  1. Gangadhara Sundar DO, FRCSEd, FAMS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gangadhara Sundar DO, FRCSEd, FAMS .

Editor information

Editors and Affiliations

  1. Dacryology, L.V.Prasad Eye Institute, Hyderabad, India

    Mohammad Javed Ali

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer India

About this chapter

Cite this chapter

Sundar, G. (2015). Lacrimal Trauma and Its Management. In: Javed Ali, M. (eds) Principles and Practice of Lacrimal Surgery. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2020-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2020-6_16

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2019-0

  • Online ISBN: 978-81-322-2020-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation