MAY 06, 2021
Oculoplastics/Orbit, Pediatric Ophth/Strabismus
This retrospective study reports the outcomes of canalicular laceration repair with the Mini Monoka stent (FCI Ophthalmics) in children younger than 10 years.
Researchers assessed 18 patients with a mean age of 5.4 years who suffered a canalicular tear that was repaired with the Mini Monoka stent and were followed for 6 months or longer. Patients were divided into early-repair (within 48 hours of injury) and delayed-repair (2 to 15 days after injury) groups. The authors measured anatomic and functional success of the canalicular repair. Anatomic success was defined as a negative fluorescein dye disappearance test and normal tear meniscus height. Functional success was defined by epiphora with a Munk score of 0 or 1.
Approximately 89% of patients achieved anatomic success and 94% achieved functional success. There were no statistically significant differences in anatomic or functional success between the 7 patients who had early repair and 11 patients who had delayed repair.
This study was a retrospective review of relatively few patients. In addition, the final follow-up was at 6 months, which marked the point at which the stent was removed. Additional follow-up to determine the long-term patency after the stent was removed is unknown.
This small-cohort study of children shows that canalicular repair with the Mini Monoka stent is highly successful at 6 months.