Intern Cut into Tear Duct During Mohs Surgery

Question

Dr. allowed an intern doing his fellowship to perform the surgery. I asked specifically if the attending Dr. was doing the procedure and told yes by the intern. The intern cut into my tear duct more than 1.5 cm away from the suspected site. No BCC cells found. Upper & lower lid pulled - what can I do?

Chris Thiagarajah, MD · Answer

When the tear duct or canaliculis of the tear duct system is damaged, it needs to be repaired as soon as possible. If it scars down it can cause a blockage and resultant tearing. That being said 50% of adults can get along fine with one canaliculis functioning. (you have one on the upper eyelid and lower eyelid) without tearing. However, most oculofacial plastic surgeons do not take a chance and would repair it immediately to prevent scarring.

Steven Hacker, MD · Answer

If tumors involve or are close to a tear duct, then injury to the tear duct may occur. If this has happened I would suggest following up with an oculoplastic surgeon.

Intern Cut into Tear Duct During Mohs Surgery

Answers (2)