Gentle, technically simple repositioning of displaced lacrimal tubing

Lateral displacement at the medial canthus is the most common complication following lacrimal intubation. Current procedures for dealing with this situation involve the removal of the tubing, and are either technically difficult or else involve retrograde passage of the knotted silicone through one of the canaliculi. By passing both probes of a second intubation set through the same punctum, the loop of the displaced tubing can be captured and gently repositioned without removal. This is particularly useful with early displacement of the tubing following microsurgical repair of a canalicular laceration.