—Dr Neuhaus' comments are appreciated. I owe Drs Neuhaus and Shorr an apology for not having cited their article, which similarly describes the use of silicone sponge to secure the ends of the silicone tubing. To the best of my knowledge, their article is the first to describe specifically in the literature the use of a silicone sponge, although I believe the technique has been in use for some time. Perhaps the originator will come forward and accept the credit due him or her for this very helpful innovation.The need for this technique is further testified to by the publication in the Archives, between the submission and publication of my original letter, of yet another article describing yet another method of preventing prolapse of silicone tubing during intubation of the lacrimal system1 (the "spaghetti syndrome").As Dr Neuhaus recommends, we do place the sponge beneath the
Romano PE. Lacrimal System Intubation-Reply. Arch Ophthalmol. 1987;105(12):1625. doi:10.1001/archopht.1987.01060120023004
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