Sleeves for fixation of Silastic nasolacrimal tubes.

AIMS To describe a method of securing indwelling O'Donohughe's lacrimal tubes in dacryocystorhinostomy using two 3-4 mm Watski sleeves. METHODS The operative technique used to secure the sleeves into position on the lacrimal tubes is described. Forty seven procedures with a follow up ranging from 3 to 30 months (mean 10 months) are reviewed. RESULTS The tubes and sleeves were well tolerated. Upward prolapse of the tubes occurred only once and the tubes were easily repositioned in this case. CONCLUSION Securing lacrimal tubes with Watski sleeves in dacryocystorhinostomy is a simple, cheap, and effective procedure.