VT244 : An indigenous lacrimal intubation system: safe, easy, and cost effective”.

Dr.Santanu Mitra

Lacrimal intubation is not a regular and mandatory part of routine dacryocystorhinostomy (DCR) procedures. But sometimes it is essential in difficult cases like canalicular blocks, post-traumatic extensive fibrosis, failed DCR surgeries, etc. Intubation of the newly constructed passage helps to maintain it long enough to establish an epithelium lined tract for a successful drainage system even after removing the tube. The conventional lacrimal intubation systems generally comprise of silicon tubes fitted with long metal stillettes on both open ends. They have some difficulties of insertion and internal fixation. We have innovatively designed more solid intubation system out of silicon rod used for ptosis sling surgery (Aurosling). They are very easy to insert and fixed within the nose. Rods are also stronger than tubes as stents. The video describes its indigenous preparation, technique of fixation and removal. The outcome was also described.