DR. JANANEE RAJENDRAN

DR. GAGAN DUDEJA, DR.AJAY KRISHNA MURTHY, DR. APEKSHA V SHETTIGAR

Abstract

Abstract

Purpose: Mini monoka is used mainly in the canalicular laceration management. Evidence of management of canalicular obstruction by trephination with mini monoka stenting is sparse. The aim of this study is to evaluate the efficacy of treatment.

Design: Prospective non-comparative interventional study

Methods: 28 eyes of 25 patients with non-traumatic distal canalicular fibrosis were included. Successful trephination was confirmed by lacrimal sac syringing and all patients underwent mini monoka monocanalicular stenting. Stent was removed after 6 months. The outcome was based on subjective and objective findings after stent removal at 6 months follow up.

Results: Overall success rate was 75% and trephination was successful in 25 eyes. Restenosis developed in 3 eyes after stent removal.

Conclusion: Canaliculoplasty by trephination with mini monoka stent is less invasive, simple yet effective surgical treatment of choice for canalicular fibrosis.