Repair of acute common canalicular avulsion by angular vein grafting

Traumatic avulsion of the common canaliculus was repaired in one patient by using a segment of the angular vein as an autograft. The vein graft served as a functional anastomosis between the lacrimal sac and both upper and lower canaliculi. The technique is a viable alternative for functional repair of the acutely lacerated lacrimal drainage system in which canalicular tissue is missing.