Clinical effects of anastomosis on 96 cases of lacrimal canaliculi laceration

Abstract

Objective To evaluate the clinical effects of locating the nasal laceration end of lacrimal canaliculus and its anastomosis combined with intubation under the microscope. Methods Firstly we found the breaking point of lacrimal canaliculus along the nasal side after recovering the cut under surgical microscope;then the epidural tude was used as a support vehicle inside the lacrimal canaliculus to reconnect the breaking points of lacrimal canaliculi. All cases were followed up for 3-13 months. Results 6 cases of 96 patients with epicanthal skin laceration healed poorly with canalicular wound spliting and long-term epiphora.7 cases of the 96 patients still had lacrimal passage obstruction after the removal of epidural tube, the other 83 cases recovered ( 84. 46% ). Conclusion The success rate of identifying dacryocanalicular remainder at the nasal side by observing under microscope is relatively high. Anastomosis does play a role in the recovery of drainage via lacrimal passage. Key words: microscope; lacrimal canaliculus laceration; anastomosis; epidural tube