Novel Application of Vasofix Cannula for Punctal and Canalicular Laceration

Ophthalmology Research: An International Journal

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Title Novel Application of Vasofix Cannula for Punctal and Canalicular Laceration
Creator Krishnacharya, Prabhakar Srinivasapuram
Naaz, Shamshiya
Reddy, Raghavendar
Singhal, Anuj Kumar
Description Aim: Purpose of present study is to investigate the efficacy of vasofix cannula in preserving punctum position and canalicular patency.
Presentation of Case: A thirty four year old male patient presented with multiple right both eyelid injuries consisting of lower punctum, vertical and horizontal canalicular laceration, lower eyelid tear with tarsal plate fracture with pretarsal orbicularis muscle splitting, laceration near lateral canthus running for about an inch horizontally and vertical upper lid laceration near upper punctum inflicted by flying zinc sheet at work place. Examination revealed normal and intact ocular functions. Ocular movements were full with unremarkable fundoscopy. CT orbit showed no orbital fractures and intraocular foreign body. Vasofix cannula 24 Gauge inserted into lower punctum and canaliculus, and anchored to lid margin by vicryl 10-0 along with lid laceration repair under local anesthesia.
Discussion: Punctal position, canalicular support and patency were maintained with no infection or extrusion. There was no epiphora or ocular irritation during 10 weeks of follow up.
Conclusion: This case study describes management of monopunctal and horizontal as well vertical canalicular laceration by vasofix cannula acting as a stent. Anatomical and physiological functions restored with acceptable cosmetic appearance. Added advantage is that all time availability of cannula in all operation theatres. Although Vasofix cannula is semi flexible in nature can be used as a stent for canalicular intubation purpose.
Publisher SCIENCEDOMAIN international
Date 2019-09-23
Type info:eu-repo/semantics/article
Format application/pdf
Source Ophthalmology Research: An International Journal; 2019 - Volume 11 [Issue 1]; 1-5
Language eng
Rights Copyright (c) 2019 © 2019 Krishnacharya et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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