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Apart From Surgical Procedures, Another Important Point to Note in Lacrimal Canalicular Lacerations

Traumatic Retinal Tears

Demirel, Soner MD*; Dikci, Seyhan MD*; Firat, Penpe Gül MD*; Genç, Oğuzhan MD; Mutlu, Kayhan MD

doi: 10.1097/SCS.0000000000005484
Clinical Studies

Background: To evaluate fundus examinations in terms of traumatic retinal tears or dialysis that may be related to canalicular lacerations (CLs).

Materials and Methods: This retrospective study was conducted on patients with CL repair from June 1, 2009 to May 30, 2018. The authors collected the data from the patients’ medical records, including their demographic details, mechanism and setting of injury, associated ocular injuries, type of stent used, setting of repairs, duration of follow-up, complications, pre- or intraoperative findings of biomicroscopic and fundus examinations, refractive errors, postoperative follow-up of fundus examination, and management.

Results: Sixty patients (43 males and 17 females) were included in the study. The mean age of all the patients was 27.50 ± 21.72 (min: 1–max: 94) years. Isolated CL was found in 38 patients. Nonisolated CL, which means with some additional pathologies, were found in 22 patients (37%, approximately 1/3). Retinal follow-up records were available in 49 patients with a mean follow-up period of 7.48 ± 9.82 months. Retinal tears were seen in 3 patients (0.05%) with no predisposing risk factors. Two of these tears were found in the follow-up period after the traumas.

Conclusion: Consequent retinal tears after canalicular lacerations were not strongly addressed in previous works. In this study, the authors aimed to view CL from a different perspective. Canalicular laceration is also an ocular trauma that may threaten vision. The authors emphasized that performing detailed fundus examinations and follow-up in all canalicular traumas is necessary.

*Department of Ophthalmology, Faculty of Medicine, Inonu University

Department of Ophthalmology, Private Mujde Hospital, Malatya

Department of Ophthalmology, Çankiri State Hospital, Çankiri, Turkey.

Address correspondence and reprint requests to Soner Demirel, MD, Inonu Universitesi Tip fakultesi, Malatya, Turkey; E-mail:

Received 2 October, 2018

Accepted 10 January, 2019

The preliminary results of the authors’ study were presented at the 49th Turkish Ophthalmology Society Congress, October 4 to 8, 2015, Istanbul, Turkey.

The drawbacks of the present study may be its retrospective design and its small sample size. Several patients were lost to follow-up, and thus the final data of these patients could not be evaluated.

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.