Abstract

A 52-year-old man presented with an unrepaired common canalicular laceration resulting from a traffic accident 1.5 months prior to referral. Cutaneous and conjunctival scars were identified medial to the right lower lacrimal punctum. During surgery, the skin, subcutaneous tissue, and conjunctiva were incised along the existing scar, and the plane under the orbicularis oculi muscle was dissected to expose the lacrimal sac. The anterior wall of the lacrimal sac was incised, and a pigtail probe was inserted through the internal common canalicular orifice via the lacrimal sac lumen to identify the distal end of the common canaliculus. A bicanalicular lacrimal tube was inserted into the identified distal end, followed by suturing of the Horner’s muscle surrounding the lacerated canaliculus and skin closure. At 6-month follow-up, the patient was free of epiphora, with a normal tear meniscus height.

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