A simplified method for silicone intubation in lacrimal drainage obstruction

Purpose: To simplify the surgical procedure in silicone tube implantation for lacrimal drainage obstruction. Methods: To reduce the problem of retrieving the leader from under the inferior turbinate, I developed a method where I probe the canaliculi with a pigtail probe, allowing a leader to pass through both canaliculi simultaneously. The leader is then retrieved under direct visualization to minimize trauma. Results: This new method necessitates only one retrieval of the leader in the nasal cavity instead of two. This single retrieval is also made easier. Conclusions: A surgically demanding and time-consuming procedure is made easier for the surgeon and the inconvenience for the patient is reduced.