Prevention of prolapsed silicone stents in lacrimal intubation using an intrasac fixation suture

Silicone stents are routinely used for the maintenance of patent mucosal pa ssages in patients with nasolacrimal disorders, A common complication assoc iated with the use of silicone stents is lateral migration or displacement of the tubes, which can be difficult to correct. This report describes a mo dified Quickert-Dryden approach with fixation of the tubes by an intrasac s uture. From 1990 to 1996, 53 patients had silicone stents placed by this me thod with no complications related to tube displacement. The intrasac fixat ion suture has distinct advantages over other fixation methods.