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Analysis of lacrimal canaliculus lacerations treated at a reference ophthalmology hospital

ABSTRACT

Objective:

To assess the clinical-epidemiological profile of patients with eyelid trauma associated with lacrimal canaliculus laceration, factors related to trauma and surgical intervention, and to evaluate post-surgical anatomical and functional success.

Methods:

A retrospective and longitudinal analytical study was conducted, in which chart analysis was performed for patients with eyelid trauma and associated canalicular injury, who were operated on from January 1, 2015, to July 31, 2022. Patients were selected and contacted for in-person evaluation and tests to analyze post-surgical anatomical and functional success.

Results:

We selected 84 patients, and 28 of them attended the in-person evaluation. Anatomical success was achieved in 64.3% of them, and functional success in 60.71% of the cases. Age was associated with trauma traumatic mechanism.

Conclusion:

Injury complexity is associated with final anatomical and functional success, and the result of the Zappia-Milder test is related to patients’ complaints of epiphora.

Keywords:
Lacrimal apparatus diseases; Eye injuries; Lacrimal apparatus; Eyelid diseases

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