Abstract
Ocular complications have previously been reported after nasolacrimal system intubation for patients with symptomatic lacrimal drainage system abnormalities. Corneal complications, including keratitis and ulceration, have been described after monocanalicular intubation, and placement in the superior punctum has been recommended to lessen the chance of corneal contact. This report describes a child with trisomy-21 who developed bilateral corneal ulceration shortly after bilateral monocanalicular intubations in the superior puncta.
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