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.