case_images: PMC4555958_01
case_images: Bicanalicular silicone stent with stainless steel probes
case_images: AMS-5-93-g001.jpg
case_images: PMC4555958_01_AMS-5-93-g001.jpg
case_images: F1
case_images: The bicanalicular stent that was used was about 40-cm in length, made up of biological grade silicone with stainless steel probes at both the ends [Figure 1].
case_images: Identification of the superior punctum for insertion of the stainless steel probe of the silicone stent
case_images: AMS-5-93-g002.jpg
case_images: PMC4555958_01_AMS-5-93-g002.jpg
case_images: F2
case_images: One end of the bicanalicular silicone stent was passed through the superior punctum under direct vision [Figure 2].
case_images: (a) Insertion of the stent through the avulsed end of the nasolacrimal duct. (b) End of the probe emerging through the canaliculi
case_images: AMS-5-93-g003.jpg
case_images: PMC4555958_01_AMS-5-93-g003.jpg
case_images: F3
case_images: It was then passed through the avulsed end of the NLD and further into the canal [Figure 3].
case_images: Retrieval of the two ends of the stent through the inferior meatus
case_images: AMS-5-93-g004.jpg
case_images: PMC4555958_01_AMS-5-93-g004.jpg
case_images: F4
case_images: The emerging end of the stent was pushed through the inferior meatus, then visualized and grasped [Figure 4].
case_images: Securing the two ends of the stent
case_images: AMS-5-93-g005.jpg
case_images: PMC4555958_01_AMS-5-93-g005.jpg
case_images: F5
case_images: The length of the bicanalicular stent was adjusted between the superior and inferior punctum to prevent tension before tying the two ends securely [Figure 5].
case_images: Slit lamp view demonstrating the bicanalicular stent
case_images: AMS-5-93-g006.jpg
case_images: PMC4555958_01_AMS-5-93-g006.jpg
case_images: F6
case_images: This bicanalicular silicone stent acts as a temporary surgical stent during the healing process of the damaged NLD [Figure 6].