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  • Mini Monoka stent appears to effectively repair canalicular lacerations

    Oculoplastics/Orbit, Pediatric Ophth/Strabismus

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    Review of: Pattern of presentation and surgical outcomes of canalicular laceration repair in a pediatric population

    Agarwal R, Patidar N, Mohan A, et al. Journal of Pediatric Ophthalmology & Strabismus, January 2021

    This retrospective study reports the outcomes of canalicular laceration repair with the Mini Monoka stent (FCI Ophthalmics) in children younger than 10 years.

    Study design

    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.

    Outcomes

    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.

    Limitations

    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.

    Clinical significance

    This small-cohort study of children shows that canalicular repair with the Mini Monoka stent is highly successful at 6 months.