A modern approach to lacrimal surgery

In this series of 129 lacrimal operations over a ten-year period the techniques of simple and complex lacrimal surgery are discussed. Preoperative investigations included dye tests and radiological studies which determined the type of surgical procedure required. Meticulous haemostasis and identification of the surgical anatomy reduced the incidence of operative and postoperative complications. Where failures occurred re-operation was performed with satisfactory results in all except one case. Lester Jones Pyrex tube techniques are described using a flow system of instrumentation designed to facilitate primary and secondary tube insertion and also tube replacement.