Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis

Sarah W DeParis,1,2 Clarinda J Hougen,1 Fatemeh Rajaii,1 Nicholas R Mahoney1 1Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA; 2Department of Ophthalmology, The Permanente Medical Group, San Rafael, CA, USACorrespondence: Nicholas R MahoneyDepartment of...

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Autores principales:	DeParis SW, Hougen CJ, Rajaii F, Mahoney NR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	bicanalicular intubation canalicular stenosis punctal stenosis lacriflow silicone intubation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f8a1297c96ee484d86f29d9dce5ee3c8
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spelling	oai:doaj.org-article:f8a1297c96ee484d86f29d9dce5ee3c82021-12-02T11:48:44ZBicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis1177-5483https://doaj.org/article/f8a1297c96ee484d86f29d9dce5ee3c82020-03-01T00:00:00Zhttps://www.dovepress.com/bicanalicular-intubation-with-the-kaneka-lacriflow-for-proximal-lacrim-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sarah W DeParis,1,2 Clarinda J Hougen,1 Fatemeh Rajaii,1 Nicholas R Mahoney1 1Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA; 2Department of Ophthalmology, The Permanente Medical Group, San Rafael, CA, USACorrespondence: Nicholas R MahoneyDepartment of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USATel +1 410 955 1112Fax +1 410 614 9987Email nick.mahoney@jhmi.eduPurpose: The Kaneka Lacriflow CL (Lacriflow) bicanalicular lacrimal intubation system was evaluated as a self-retaining alternative to traditional modalities for stenting and dilation of the lacrimal drainage system in proximal lacrimal drainage system stenosis.Patients and Methods: A retrospective chart review was conducted to assess the use of the Lacriflow system for treatment of patients with punctal and canalicular stenosis. Anesthesia type, operative time, and complications were assessed.Results: In the time period evaluated, a total of 72 Lacriflow stents were placed in 45 patients, most commonly under intravenous sedation. Stents were left in place for a mean of 145 days, with 9 stents left in place for more than 1 year, and a mean follow-up time of 263 days. Early complications within 90 days included prolapse in 1 stent, symptomatic colonization for 2 stents, and corneal abrasion in 1 stent in a patient with anterior basement membrane dystrophy. Five additional stents developed colonization in the late postoperative period (four of which were more than 1 year after stent placement). The overall complication rate (per stent) at 3 months after surgery was 5.6% and at all follow-up time points was 13.9%. Operative times were significantly shorter for a cohort of patients undergoing bicanalicular intubation with the Ritleng system (P = 0.015).Conclusion: The Lacriflow bicanalicular stent can be easily placed without general anesthesia. Complication rates are comparable to other bicanalicular intubation systems, but increase with longer time that stents are left in place.Keywords: bicanalicular intubation, canalicular stenosis, punctal stenosis, Lacriflow, silicone intubation  DeParis SWHougen CJRajaii FMahoney NRDove Medical Pressarticlebicanalicular intubationcanalicular stenosispunctal stenosislacriflowsilicone intubationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 915-920 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	bicanalicular intubation canalicular stenosis punctal stenosis lacriflow silicone intubation Ophthalmology RE1-994
spellingShingle	bicanalicular intubation canalicular stenosis punctal stenosis lacriflow silicone intubation Ophthalmology RE1-994 DeParis SW Hougen CJ Rajaii F Mahoney NR Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
description	Sarah W DeParis,1,2 Clarinda J Hougen,1 Fatemeh Rajaii,1 Nicholas R Mahoney1 1Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA; 2Department of Ophthalmology, The Permanente Medical Group, San Rafael, CA, USACorrespondence: Nicholas R MahoneyDepartment of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USATel +1 410 955 1112Fax +1 410 614 9987Email nick.mahoney@jhmi.eduPurpose: The Kaneka Lacriflow CL (Lacriflow) bicanalicular lacrimal intubation system was evaluated as a self-retaining alternative to traditional modalities for stenting and dilation of the lacrimal drainage system in proximal lacrimal drainage system stenosis.Patients and Methods: A retrospective chart review was conducted to assess the use of the Lacriflow system for treatment of patients with punctal and canalicular stenosis. Anesthesia type, operative time, and complications were assessed.Results: In the time period evaluated, a total of 72 Lacriflow stents were placed in 45 patients, most commonly under intravenous sedation. Stents were left in place for a mean of 145 days, with 9 stents left in place for more than 1 year, and a mean follow-up time of 263 days. Early complications within 90 days included prolapse in 1 stent, symptomatic colonization for 2 stents, and corneal abrasion in 1 stent in a patient with anterior basement membrane dystrophy. Five additional stents developed colonization in the late postoperative period (four of which were more than 1 year after stent placement). The overall complication rate (per stent) at 3 months after surgery was 5.6% and at all follow-up time points was 13.9%. Operative times were significantly shorter for a cohort of patients undergoing bicanalicular intubation with the Ritleng system (P = 0.015).Conclusion: The Lacriflow bicanalicular stent can be easily placed without general anesthesia. Complication rates are comparable to other bicanalicular intubation systems, but increase with longer time that stents are left in place.Keywords: bicanalicular intubation, canalicular stenosis, punctal stenosis, Lacriflow, silicone intubation
format	article
author	DeParis SW Hougen CJ Rajaii F Mahoney NR
author_facet	DeParis SW Hougen CJ Rajaii F Mahoney NR
author_sort	DeParis SW
title	Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
title_short	Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
title_full	Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
title_fullStr	Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
title_full_unstemmed	Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis
title_sort	bicanalicular intubation with the kaneka lacriflow for proximal lacrimal drainage system stenosis
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/f8a1297c96ee484d86f29d9dce5ee3c8
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Bicanalicular Intubation with the Kaneka Lacriflow for Proximal Lacrimal Drainage System Stenosis

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