Kanalikül Kesilerinin Tamirinde Başarıyı Etkileyen Faktörler

Objective: The aim of this study is to investigate the demographic characteristics and surgical intervention methods in patients presenting with traumatic canalicular incision and to evaluate the anatomical and functional results. Material and Methods: The demographic findings, cause of trauma and mode of occurrence, time between trauma and surgery, the follow-up period and complications were evaluated retrospectively in 69 eyes of 69 patients who underwent pericanalicular non-mucosal anastomosis and silicone tube implantation due to canalicular incision between April 2015 and November 2018. In the third month after silicone tube removal, it was accepted as anatomical success to determine the lacrimal system patency with hard stop and the passage of the fluid and as functional success to achieve a grade 0 or 1 according to Munk epifora classification. Results: Sixty men (87%) and 9 women (13%) had a mean age of 26.2±19 (1-73 years). The mean postoperative follow-up was 9.31±1.02 months. According to Munk epifora classification functional success was 89.9%. The anatomic success rate was determined as 95.7% in 66 cases with lacrimal lavage. In the multivariable logistic regression analysis performed to determine the factors affecting anatomical and functional success after canaliculus repair, when the age, gender, trauma etiology, damaged canaliculus type, localization of laceration, time to surgery, the type of tube inserted and the duration of the tube was evaluated, no variable was found to be statistically significant. Conclusion: Given that the age group is a young population and the possibility of damage to the intact canaliculus in the future, all canalicular incisions should be repaired by placing a tube in accordance with its anatomy as soon as the conditions are suitable.