Table 1

Questions regarding the lax MCT

  • How much MCT laxity is required before you will repair the MCT?

  • Does your decision to repair the MCT vary if the patient presents with epiphora?

  • What is your preferred method of MCT repair? Do you tighten the anterior limb, posterior limb or both? What type of suture and needle, etc, are used? Do you cut/shorten the elastic canaliculus? If so, do you intubate?

  • What is your management in severe cases with such gross MCT laxity that the whole inner canthus complex (including caruncle and upper and lower MCT) is distractable laterally?