Optimisation of reduction for prolapsed silicone tube after lacrimal intubation

Abstract

Abstract Background A common complication of bicanalicular intubation is dislocation of the silicone tube. Methods Eleven patients with prolapsed silicone tubes who had undergone bicanalicular nasal intubation were injected with a 2 per cent lidocaine solution to infiltrate the lacrimal duct mucosa. A memory wire probe was used to pull a 4-0 suture through the lacrimal passage retrogradely, allowing the suture to grab the silicone tube. Paraffin oil was applied to the contact part of the rope and the silicone tube, then the distal end of the silk thread was removed from the nostril until the tube was pulled into place. Results The prolapsed silicone tubes were restored by surgery in nine patients, with the drainage tube in the correct position in the eye and the lacrimal duct irrigation unobstructed. Conclusion The optimisations made in this study are considered effective adjustments of reduction surgery for a prolapsed silicone tube.