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April 1972

The Hard to Repair Severed Lacrimal Canaliculus

Author Affiliations

Stamford, Conn
From the Department of Ophthalmology, Stamford Hospital and St. Joseph's Hospital, Stamford, Conn.

Arch Ophthalmol. 1972;87(4):406. doi:10.1001/archopht.1972.01000020408008

To repair a torn tear duct, a Veirs malleable rod, modified so as to have a suture swaged to each end, is used to bridge the cut canaliculus. The pigtail probe of Worst is used to bring one suture back through the intact canaliculus. This maneuver eliminates the necessity of searching for the deeply positioned and difficult to find opening of the medial end. The suture on the other end of the rod is brought out through the damaged canaliculus and punctum. Both sutures are fastened to the skin to perfectly position the rod to splint the cut canaliculus.

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