Early Versus Late Canalicular Laceration Repair Outcomes.

Abstract:

PURPOSE:To determine whether delayed repair of traumatic canalicular laceration affects the final outcome. DESIGN:Retrospective case series. METHODS:The medical records of 334 patients who underwent primary traumatic canalicular laceration repair were retrospectively reviewed. Patients were divided into 2 groups according to the surgical timing within 48 hours (early) or after 48 hours (delayed). The anatomic results were compared between these 2 groups. The causes of delayed repair and the mean operation time were also analyzed. RESULTS:There were 23 failed cases among 301 patients (7.6%) who had a repair within 48 hours and 3 failed cases among 33 patients (9.1%) who had a repair after 48 hours (P = .732). The mean operation time was 62 minutes in the early group and 66.3 minutes in the delayed group, which showed no significant difference (P = .371). The major cause of delayed surgery was traumatic brain injury, followed by facial or orbital fracture, long bone fracture, and chest injury. CONCLUSIONS:Delayed canalicular repair in unstable patients did not lead to poor results. An elective scheduling surgery, instead of an urgent repair, is feasible for an experienced surgeon.

journal_name

Am J Ophthalmol

authors

Chu YC,Wu SY,Tsai YJ,Liao YL,Chu HY

doi

10.1016/j.ajo.2017.08.006

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

155-159

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(17)30340-9

journal_volume

182

pub_type

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