Novel Application of Vasofix Cannula for Punctal and Canalicular Laceration

Main Article Content

Prabhakar Srinivasapuram Krishnacharya
Shamshiya Naaz
Raghavendar Reddy
Anuj Kumar Singhal

Abstract

Aim: Purpose of present study is to investigate the efficacy of vasofix cannula in preserving punctum position and canalicular patency.

Presentation of Case: A thirty four year old male patient presented with multiple right both eyelid injuries consisting of lower punctum, vertical and horizontal canalicular laceration, lower eyelid tear with tarsal plate fracture with pretarsal orbicularis muscle splitting, laceration near lateral canthus running for about an inch horizontally and vertical upper lid laceration near upper punctum inflicted by flying zinc sheet at work place. Examination revealed normal and intact ocular functions. Ocular movements were full with unremarkable fundoscopy. CT orbit showed no orbital fractures and intraocular foreign body. Vasofix cannula 24 Gauge inserted into lower punctum and canaliculus, and anchored to lid margin by vicryl 10-0 along with lid laceration repair under local anesthesia.

Discussion: Punctal position, canalicular support and patency were maintained with no infection or extrusion. There was no epiphora or ocular irritation during 10 weeks of follow up.

Conclusion: This case study describes management of monopunctal and horizontal as well vertical canalicular laceration by vasofix cannula acting as a stent. Anatomical and physiological functions restored with acceptable cosmetic appearance. Added advantage is that all time availability of cannula in all operation theatres. Although Vasofix cannula is semi flexible in nature can be used as a stent for canalicular intubation purpose.

Keywords:
Zinc sheet, vasofix cannula, punctal tear, canalicular tear, lid lacerations.

Article Details

How to Cite
Krishnacharya, P. S., Naaz, S., Reddy, R., & Singhal, A. K. (2019). Novel Application of Vasofix Cannula for Punctal and Canalicular Laceration. Ophthalmology Research: An International Journal, 11(1), 1-5. https://doi.org/10.9734/or/2019/v11i130117
Section
Case study

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