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Shannath L. Merbs, MD, PhD; Laura L. Harris, MD; Mami Aiello Iwamoto, MD; Nicholas T. Iliff, MD

Arch Ophthalmol. 1999;117:1092-1095.

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

From the Oculoplastic Division, Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Md (Drs Merbs and Iliff); Coastal Carolina Eye Center, Wilmington, NC (Dr Harris); and the Massachusetts Eye and Ear Infirmary, Harvard Medical School and Ophthalmic Consultants of Boston, Boston, Mass (Dr Iwamoto). None of the authors have a commercial or proprietary interest in any of the products or companies mentioned.