Results of Canalicular Laceration Repair with Mini-Monoka Stent: A Prospective Study from Nepal

Introduction: Canalicular lacerations occur in people of all age groups butmore common in children and young adults. The objective of this study is toevaluate the anatomical and functional outcomes of canalicular lacerationrepair with Mini-monoka stent. Methods: Prospective, consecutive, non-randomized observational study atTilganga Institute of Ophthalmology from 1st September 2019 to 21st February2021. Results: Among 26 patients enrolled in this study,21(80.8 %) were male andonly 5 (19.2%) were female, ratio being 4.2:1. A larger number of canalicularinjuries were noted among children and young adults with the mean age of23.42years. Blunt injury was the most common mode of injury noted in 16(61.5%).Anatomical success was noted in 23(85.5%) and functional success in 24(92.3%).Anatomical and functional rates were not affected by injury to time of repair(p value>0.005). Premature stent extrusion was the most frequently noteddisadvantage of this procedure (11.5%). Conclusion: Canalicular laceration repair using the self-retaining Mini Monokastent demonstrated high anatomic (85.5%) and functional (92.3%) success ratesin our study, consistent with global literature. This technique is easy to performand presents fewer complications.Abbreviations: SPSS = Statistical Package for Social Sciences, FDDT = Fluoresceindye disappearance test, RTA = Road Traffic Accident