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Mini Monoka Stent Insertion for the Management of Epiphora Secondary to Canalicular Obstruction or Stenosis

Jeganathan VSE, Gao Z and Verma N

Background/Aims: To assess the outcomes of Mini monoka lacrimal stent insertion in the management of epiphora in adults caused by inferior or common canalicular duct obstruction or stenosis.
Methods: A retrospective study was performed selecting consecutive patients at Hobart Eye Surgeons, from Oct 2007 to Mar ’08 who had Mini Monoka stents inserted for epiphora secondary to confirmed obstruction/stenosis in either inferior or common canaliculus. These patients had their stents routinely removed after six weeks.
Results: There were a total of 36 eyes (31 patients) included in the study and 31 eyes (83.7%) showed subjective improvement in epiphora. One patient was lost to follow up and 5 eyes showed no improvement.
Conclusion: In this first case series which used Mini Monoka stents to treat epiphora, there was a high success rate in improvement of epiphora. Further research is warranted to further validate its use into routine clinical practice.