Silicone tubing of the lacrimal pathway is used after lacrimal pathway inju
ries or canalicular stenosis, This procedure is often complicated by the so
-called accordeon phenomenon. Far the last 3 years we have used a new syste
m for lacrimal intubation: the Ritleng intubation set. It consists of a sil
cone tube which is connected to a polypropylene tube and a specially design
ed stainless probe for lacrimal insertion. Due to the smooth connection of
the polypropylene tube and the silicone tube intubation can be performed ea
sily and without the so-called accordeon phenomenon. In case of congenital
or acquired lacrimal stenosis probing and silicone intubation can be perfor
med in one step, We used this set in 19 lacrimal lacerations of the lacrima
l pathway and in 7 cases of congenital and 12 cases of acquired lacrimal st
enosis, With this specially designed lacrimal intubation set lacerated cana
liculi can be quickly reapproximated, It allows probing of the lacrimal sys
tem and intubation in one procedure, In this report the technique and indic
ations will be described and discussed,
Copyright (C) 2000 S. Karger AG, Basel.