title: Lacrimal canalicular transplantation with composite eyelid graft.
abstract: OBJECTIVE
  To describe a new surgical approach for secondary repair of canalicular lacerations using a full-thickness en bloc eyelid transplantation.
  
  
  METHODS
  This a single case report of full-thickness en bloc eyelid transplantation. The patient presented with symptomatic epiphora several years after traumatic laceration of the left lower canalicular system. The canalicular system of the right upper eyelid, including the punctum and a section of the canaliculus, was resected and transplanted to repair a dysfunctional left lower eyelid. The primary outcome measure was the functionality of the transplanted canalicular system.
  
  
  RESULTS
  The transplanted lacrimal system was patent by irrigation at multiple visits postoperatively. In addition, the patient was asymptomatic and was pleased with the cosmetic result.
  
  
  CONCLUSIONS
  This is the first reported case of successful canalicular transplantation. Although a single case report, the authors anticipate future success with this technique.
authors.affiliation: Department of Ophthalmology, Mount Sinai School of Medicine, New York, New York 10029, USA. murray.meltzer@mssm.edu
authors.forename: Murray A
authors.initials: MA
authors.lastname: Meltzer
authors.forename: Chad C
authors.initials: CC
authors.lastname: Zatezalo
authors.forename: Susan
authors.initials: S
authors.lastname: Zoltan
mesh_terms: D005131:Eye Injuries / Q000503:physiopathology / Q000601:surgery*; D005143:Eyelids / Q000502:physiology / Q000637:transplantation*; D006801:Humans; D022125:Lacerations / Q000601:surgery; D007765:Lacrimal Apparatus / Q000293:injuries / Q000502:physiology / Q000637:transplantation*; D007766:Lacrimal Apparatus Diseases / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014182:Transplantation, Autologous