Canalicular Reconstruction Using a 24-Gauge Intravenous Cannula A Case Report

Published

2025-10-25

Keywords:

Canalicular laceration, Canalicular Repair, 24G IV Canula, Canalicular intubation.

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Issue

Vol. 13 No. 03 (2025): UP Journal of Ophthalmology

Section

Case Report

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

Authors

  • Niraj Kumar Yadav Department of Ophthalmology, Dr KNS Memorial Institute of Medical Sciences, Barabanki, Uttar Pradesh
  • Eesha Agarwal Department of Ophthalmology, Dr KNS Memorial Institute of Medical Sciences, Barabanki, Uttar Pradesh
  • Sanket Vinod Sadaphale Department of Ophthalmology, Dr KNS Memorial Institute of Medical Sciences, Barabanki, Uttar Pradesh

Abstract

Purpose : To describe a simple, inexpensive technique for canalicular reconstruction using a 24-gauge (24G) intravenous (IV) cannula as a temporary monocanalicular stent after traumatic laceration.

Case Presentation: A 12-year-old child with an isolated laceration of the lower canaliculus underwent primary repair utilizing a trimmed 24-G IV cannula as a stent. The stent was in place for 12 weeks before being removed during a clinic visit. At the 6-month follow-up, the patient was asymptomatic, demonstrated patent irrigation, and reported no episodes of epiphora.

Discussion : After performing canalicular repair, the punctal position, canalicular support, and patency were preserved without any signs of infection or extrusion. There was neither epiphora nor ocular irritation observed during the 6-month follow-up period. This case report is corroborated by multiple other studies.

Conclusion : A standard 24G intravenous cannula serves as an effective and cost-efficient alternative for canalicular repair in scenarios where commercial stents are either inaccessible or prohibitively priced. The clinical outcomes observed in this application are comparable to those associated with traditional silicone stents.

How to Cite

1.
Yadav NK, Agarwal E, Sadaphale SV. Canalicular Reconstruction Using a 24-Gauge Intravenous Cannula A Case Report. UPJO [Internet]. 2025 Oct. 25 [cited 2026 Mar. 18];13(03):115-7. Available from: https://upjo.org/index.php/upjo/article/view/653

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