The lacrimal apparatus may be injured in blunt trauma to the eyelid, usually due to a blow from a fist.1 Laceration of both upper and lower ducts occurs in about 27% of cases. 1Repair of the common insertion of the upper and lower canaliculus of the lacrimal sac is difficult and may require canalicular dacrocystorhinostomy (DCR). 2 We present a case where such an injury was repaired using endoscopic DCR techniques, with silicone stenting and securing of stents intranasally. As far as we know, this technique has not been reported elsewhere. Case reportA 35-year-old man presented with a punch to the left side of the face with no ocular injuries or orbital floor fractures. There was a full thickness laceration of the Endoscopic dacrocystorhinostomy in lacrimal canalicular trauma Departments of 1 Plastic Surgery and 2 ENT Surgery, Royal Preston Hospital, Preston, UKA case is presented where the common insertion of the upper and lower canaliculus of the lacrimal sac was repaired using endoscopic dacrocystorhinostomy (DCR) techniques, with silicone stenting and securing of stents intranasally.