Secondary Repair of Upper Lid Laceration with Canalicular Laceration, Right A case report

Objective: To demonstrate the ease, efficacy and safety of using a monocanalicular stent in repair of a transected canaliculus.

Methods: A case report of an 11-year old male who had an upper lid laceration with canalicular laceration. A Masterka monocanalicular stent was used for repair of the canaliculus.

Results:This is a case of an 11-year old male who sustained trauma to the right eye after accidentally hitting a metal clothes hanger while playing at a store which resulted to an upper lid laceration with canalicular laceration. Primary repair was done in a local clinic and was then seen at our institution 5 days post injury. A secondary repair was done using the “one stitch technique” by doing a single pericanalicular horizontal mattress suture which was described by Dr. Kersten and gives an anatomical success rate of 100% (Alam, 2017). A Masterka monocanalicular stent was used to bridge the transected canaliculus. The Masterka silicone tube with punctal fixation, pre-mounted on an introducer to facilitate insertion is placed within the lumens of the canaliculi to bridge the lacerated areas. Monocanalicular stents minimize the risk of injury to the intact canaliculus, compared to bicanalicular silicone stent. The Masterka needs no nasal recovery thus, making it a less traumatic procedure.

Conclusion: Intubation of lacerated canaliculi with a Masterka monocanalicular stent for canalicular repair was safe, effective and simple with minimal complications.