目的：探讨陈旧性泪小管断裂的治疗方法。 方法：采用眼睑前叶切开法，在显微镜下寻找泪小管断端后，置入硅胶软管，吻合泪小管断端，3mo后拔管。 结果：患者84例84眼都能在显微镜下成功找到泪小管断端，痊愈62例（73.8%），好转17例（20.2%），无效5例（6.0%）。 结论：采用眼睑前叶切开法，置入硅胶软管，是治疗陈旧性泪小管断裂的有效方法。

AIM:To discuss the treatment for old lacerated canaliculi. METHODS:Eighty four cases (84 eyes) of old lacerated canaliculi were treated by incision on anterior part of eyelid. The canaliculi breakage was looked for under the microscope.After implanting of silicagel tube, the canaliculi breakage was anastomosed.The tube would be reserved for 3 months. RESULTS:All canaliculi breakage could be seen under the microscope,62 cases (73.8%) were cured,17 cases (20.2%) were utility and 5 cases (6.0%) had no effect. CONCLUSION:With incision on anterior part of eyelid, implanting of silicagel tube is a very effective method to treat old lacerated canaliculi.