AIM：To evaluate the efficacy and safety of "one-stitch anastomosis through the skin" repair of canalicular laceration. METHODS：The data of 32 cases (32 eyes) of canalicular laceration who underwent repair of lacerated canaliculi with one-stitch anastomosis through the skin were retrospectively reviewed, inferior canalicular laceration in 29 patients, superior canalicular laceration in 1 patient, 2 cases involving both the inferior and superior canalicular laceration. All the operations were performed under surgical microscope, 5-0 silk sutures were used and silicone tube of 0.8mm diameter was employed in intubation. The stents were left in place for 3 months postoperatively and then removed. The follow-up period was 1 to 36 months. · RESULTS: In 32 patients, 28(88%) patients were cured entirely, 3 (9%)patients were meliorated, and 1(3%) patient had no effects. A total of 29 patients complied with scheduled follow up 1-36 months (average 12 months) after stent removal, and 3 patients were lost in follow-up. All the patients had got good recovery of eyelid laceration with no traumatic deformity in eyelid and canthus. · CONCLUSION: In "one-stitch anastomosis through the skin" repair of canalicular laceration, the cut ends could be anastomosed directly，for there was no suture remained in the wound permanently, so there was no suture-related granuloma which might cause obstruction or stenosis of canaliculi. It was simple, economical，effective and safe.