Rupture of the lacrimal saccus of occuli sinistra with rupture of the palpebra occuli sinistra


Vira Teresia
Oktarina Nila Juwita


This research aims to analyze the case of rupture of lacrimal sac occuli sinistra with rupture of the palpebra occuli sinitra. The research method used qualitative with a case study approach. Data collection was carried out using primary and secondary methods. Primary was carried out through direct observation, while secondary data was obtained through journal literature and books. Case illustration: a 58 years old woman complained of pain in her left eye ± 1 day ago due to a traffic accident, that was a motorbike collision accompanied by lacerations and bleeding in the lower eyelid near the nose. Physical examination revealed that the patient appeared moderately ill, composmentis, GCS 15, blood pressure: 160/90 mmHg, pulse frequency: 70x/minute, respiratory frequency: 20x/minute, temperature: 36,80 C, and BMI: 23,4 kg/m2 is overweight. Physical examination of the eyes superior and inferior eyelids have edema (+), tenderness (+). In the lacrimal punctum, there was a tear in the vertical direction measuring ± 1.5 cm and bleeding. The palpebral fissure is the horizontal size = 30 mm and the vertical = 7 mm. The patient's treatment was planned to involve recanalization of the lacrimal sac occuli sinitra accompanied by palpebral hecting under general anesthesia. The 0.5% optiflox (levofloxacin 1 mg) eye drops were administered 1 drop/hour OS, methylprednisolone 3 x 4 mg tablets PO, levofloxacin 1 x 500 mg tablet PO, and amlodipine 1 x 10 mg tablet. This case report shows that rupture of lacrimal sac occuli sinistra and rupture of the palpebra occuli sinitra occurred due to indirect blunt trauma. Complications can be prevented by carrying out appropriate management and control of risk factors.


How to Cite
Teresia, V. and Nila Juwita, O. (2023) “Rupture of the lacrimal saccus of occuli sinistra with rupture of the palpebra occuli sinistra ”, Science Midwifery, 11(5), pp. 848-853. doi: 10.35335/midwifery.v11i5.1393.


Anggraini, M. T., & Al, E. (2015). Buku Ajar Kedokteran Keluarga. In Universitas Muhammadiyah Semarang. Universitas Muhammadiyah Semarang.
Awwabiin, S. (2021). Penelitian Studi Kasus: Pengertian, Jenis, dan Contoh Lengkapnya. Dunia Dosen.
Bai, F., Tao, H., Zhang, Y., Wang, P., Han, C., Huang, Y. F., & Tao, Y. (2017). Old canalicular laceration repair: A retrospective study of the curative effects and prognostic factors. International Journal of Ophthalmology, 10(6).
Campbell, E. H., Sotelo Leon, D. E., Baum, C. L., & Wagner, L. H. (2022). Risk Factors for Canalicular Injury After Mohs Micrographic Surgery. Dermatologic Surgery, 48(9).
Erickson, B. P., Ko, A. C., & Lee, W. W. (2016). Novel pigtail cannula for a canalicular-involving eyelid laceration. Ophthalmic Plastic and Reconstructive Surgery, 32(2), e45–e47.
Feng, K., Yao, Y., Wang, Z. J., Nie, H. P., Pang, X. Q., Chen, H. J., Jiang, Y. R., Hu, Y. T., & Ma, Z. Z. (2021). Mechanism and prognostic indicators for explosion-related eye trauma: eye injury vitrectomy study. Acta Ophthalmologica, 99(6).
Hart, J. T. (1980). The Role of Medicine (Book). Sociology of Health & Illness, 2(3).
Ifantides, C., Deitz, G. A., Christopher, K. L., Slingsby, T. J., & Subramanian, P. S. (2020). Less-Lethal Weapons Resulting in Ophthalmic Injuries: A Review and Recent Example of Eye Trauma. Ophthalmology and Therapy, 9(3).
Ilhan, C., Citirik, M., Uzel, M. M., & Bagli, S. (2022). Characteristics of work-related eye trauma in construction and manufacturing industries. Clinical and Experimental Optometry, 105(5).
Karadenız Ugurlu, S., Altın Ekın, M., & Aytogan, H. (2020). Assessment of tear meniscus by optical coherence tomography in patients with canalicular laceration repair. International Ophthalmology, 40(1).
Kennedy, R. H., May, J., Dailey, J., & Flanagan, J. C. (1990). Canalicular Laceration. Ophthalmic Plastic & Reconstructive Surgery, 6(1), 46–53.
Koprowski, R., & Foster, K. R. (2018). Machine learning and medicine: book review and commentary. Biomedical Engineering Online, 17(1).
Kujundžić, N. (2020). Great folk medicine book from poljica (Bratulic’s folk medicine book). AMHA - Acta Medico-Historica Adriatica, 18(1).
Ma, Y., Mao, B., Lan, S., Chen, T., & Yu, B. (2019). A New Way of Managing Canalicular Injury Associated with Late Eyelid Burns. Journal of Craniofacial Surgery, 30(7).
Mack, N. (2005). Qualitative Research Methods: A Data Collector’s Field Guide (Metode Penelitian Kualitatif: Panduan Lapangan Pengumpul Data). Family Health International.
Milanez, M., Saraiva, P. G. C., Barcellos, N. N., & Saraiva, F. P. (2017). Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil. Revista Brasileira de Oftalmologia, 76(1).
Moleong, L. J. (2018). Metodologi Penelitian Kualitatif, cet. In XI. Bandung: PT Remaja Rosdakarya.
Phelps, P. O. (2022). Canalicular Laceration (Trauma). American Academy of Ophthalmology, 1–9.
Radnot, M., & Gabriel, I. (1980). Goblet cells of lacrimal saccus epithelium (examination with scanning electronmicroscope). Szemeszet Ophthalmologica Hungarica, 117(2).
Rho, J. Y., Dryden, S. C., Jerkins, B. M., & Fowler, B. T. (2021). Management of eye trauma for the primary care physician. Journal of the American Board of Family Medicine, 34(5).
Sadiq, M. A. A., Corkin, F., & Mantagos, I. S. (2015). Eyelid lacerations due to dog bite in children. Journal of Pediatric Ophthalmology and Strabismus, 52(6), 360–363.
SETHI, D. S., COHEN, R. S., STAMM, A. C., BORDASCH, A., VELLUTINI, E., PAHL, F., POZZOBON, M., & CRUZ, O. L. M. (2000). ALEJANDRO E. TERZIAN. Micro-Endoscopic Surgery of the Paranasal Sinuses and the Skull Base, 392.
Singh, S., Trakos, N., & Ali, M. J. (2021). Developing the rabbit canalicular injury model: Biophysical changes of masterkaR stents and implications for future research. Annals of Anatomy, 234.
Sugiyono, D. (2020). Metode Penelitian Kuantitatif, Kualitatif, dan R&D.
Usmani, B., Latif, A., Iftikhar, M., Sepah, Y. J., Parker, C., Fliss, J. A., Dansingani, K. K., & Shah, S. M. A. (2021). Eye trauma in falls presenting to the emergency department from 2006 through 2015. British Journal of Ophthalmology, 105(2).