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Lacrimal Canalicular Transplantation With Composite Eyelid Graft

Meltzer, Murray A. M.D.; Zatezalo, Chad C. M.D.; Zoltan, Susan M.D.

Ophthalmic Plastic & Reconstructive Surgery: January-February 2010 - Volume 26 - Issue 1 - p 23-25
doi: 10.1097/IOP.0b013e3181b8ee93
Original Article
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Purpose: To describe a new surgical approach for secondary repair of canalicular lacerations using a full-thickness en bloc eyelid transplantation.

Methods: This a single case report of full-thickness en bloc eyelid transplantation. The patient presented with symptomatic epiphora several years after traumatic laceration of the left lower canalicular system. The canalicular system of the right upper eyelid, including the punctum and a section of the canaliculus, was resected and transplanted to repair a dysfunctional left lower eyelid. The primary outcome measure was the functionality of the transplanted canalicular system.

Results: The transplanted lacrimal system was patent by irrigation at multiple visits postoperatively. In addition, the patient was asymptomatic and was pleased with the cosmetic result.

Conclusion: This is the first reported case of successful canalicular transplantation. Although a single case report, the authors anticipate future success with this technique.

The authors describe a new surgical technique: canalicular transplantation via full-thickness composite eyelid graft to secondarily repair a canalicular laceration.

Department of Ophthalmology, Mount Sinai School of Medicine, New York, New York, U.S.A.

Accepted for publication June 12, 2009.

Presented at the 1988 ASOPRS Annual Scientific Meeting.

No financial support or financial interest claimed by any author.

Supported in part by an unrestricted grant from the Research to Prevent Blindness Inc, New York, NY, U.S.A.

Address correspondence and reprint requests to Murray A. Meltzer, M.D., Department of Ophthalmology, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1183, New York, NY 10029, U.S.A. E-mail: murray.meltzer@mssm.edu

© 2010 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.