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Pediatric Canalicular Lacerations: Epidemiology and Surgical Outcomes
1Department of Ophthalmology Clinic, Mersin State Hospital, Mersin.
Insights
Pediatric canalicular lacerations most often affect boys, particularly the lower canaliculus, commonly caused by sharp objects. Prevention is key, as stent type did not impact functional success.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Trauma Surgery
Background:
- Canalicular lacerations are injuries to the tear drainage system.
- Pediatric cases require specific epidemiological and outcome analysis.
Purpose of the Study:
- To detail the epidemiology of canalicular lacerations in children.
- To evaluate surgical outcomes for pediatric canalicular lacerations.
Main Methods:
- Retrospective review of pediatric patients undergoing canalicular laceration repair.
- Data collected included age, sex, trauma mechanism, and stent type.
Main Results:
- Study included 47 pediatric patients (median age 6.4 years); 63.8% were male.
- Lower canaliculus involvement was most common (76.6%), often due to sharp objects (70.2%).
- No significant difference in functional success was observed between monocanalicular and bicanalicular stents.
Conclusions:
- Canalicular lacerations in children predominantly affect males and the lower canaliculus.
- Effective prevention strategies are crucial.
- Surgical outcomes are not significantly influenced by the type of stent used.
Background:
The aim of this study was to report the epidemiology and surgical outcomes of canalicular lacerations in the pediatric age group.
Methods:
All pediatric patients who underwent repair of canalicular lacerations of any cause were included in this study. Age, sex, mechanism of trauma, and type of stent used were recorded.
Results:
The study group consisted of 47 patients with a median age of 6.4 years (22 mo-17 y). Thirty of the patients were male (63.8%). The lower canaliculus was affected in 76.6% (n=36), the upper canaliculus in 40.4% (n=19), and both canaliculi in 17% (n=8). The most common cause of canalicular laceration was sharp objects (n=33, 70.2%).
Conclusion:
Canalicular laceration most commonly affects boys and especially involves the lower canaliculus. There was no difference in functional success between monocanalicular and bicanalicular stents. Prevention of canalicular lacerations should be the main focus.
