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All Journal Indonesian Journal of Global Health Research
Gede Wara Samsarga
Universitas Udayana & RSUD Prof. I.G.N.G. Ngoerah

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Microsurgical Reconstruction with Vein Graft for Canalicular Duct Rupture: A Case Report Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; Gede Wara Samsarga; Shita Diwyani Sudarsa; Astrinita Lestari Suyata; Chandra Wijaya Setiawan
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.2199

Abstract

Canalicular rupture is an injury to the lacrimal drainage system, commonly caused by sharp or blunt trauma to the periocular area due to violence, traffic accidents, sports, or falls. Inadequate management can lead to permanent epiphora, canalicular stenosis, and post-traumatic cosmetic disfigurement, necessitating appropriate surgical reconstruction. This study was conducted to evaluate the anatomical and functional outcomes of autologous vein grafting with silicone stent placement in the reconstruction of canalicular rupture. This study aimed to report our experience in canalicular duct rupture repair with silicone tube and dorsal metacarpal vein autograft. This study is a descriptive case series involving patients with canalicular rupture who underwent microsurgical reconstruction using autologous vein grafts. Patient data were collected prospectively from medical records and postoperative follow-up. Outcomes evaluated included anatomical success, functional success, and postoperative complications. After the canalicular repair, the patient showed improvement as indicated by reduced complaints of epiphora significantly.  Canalicular duct rupture reconstruction with silicone tube and dorsal metacarpal vein autograft showed a good outcome in this case and successfully reduced epiphora of the patient.
Co-Authors Agus Roy Rusly Hariantana Hamid Astrinita Lestari Suyata Chandra Wijaya Setiawan I Gusti Putu Hendra Sanjaya Shita Diwyani Sudarsa