Single silicone intubation for repair of single canaliculus laceration

A method is described and illustrated for managing the surgical problem that occurs when intubation of the canalicular system is desired, but for various reasons only single intubation is to be performed as opposed to double intubation. To provide the necessary fixation of the single tube (fixation is usually provided with a double-tube system by knotting it in the nose), and at the same time to avoid unsightly scars and difficulties that result from fixation to the skin, it is suggested that the end of the tube be buried and sutured into the inferior fornix or alongside the caruncle. At this site, it is possible to maintain the tube's position for the necessary three- to six-month period without the problems associated with other methods of fixation.