Tube erosions are an infrequent occurrence; however, when they occur, they are challenging to manage and may lead to endophthalmitis, device extrusion, and even epithelial downgrowth.13- 15 Preoperatively, the conjunctiva should be inspected and, if the erosion is small and the surrounding conjunctiva appears healthy with redundancy, repair with a partial thickness corneal patch over the tube and direct conjunctival closure is indicated. However, most times, the surrounding conjunctiva is thin, scarred, scarce, and avascular owing to numerous previous surgical procedures (as noted in 80% of our cases). Preoperatively, one must also assess the eyelids. It is important to perform a simple distraction test on the eyelid overlying the exposed tube to determine lid laxity and assess availability and access to the conjunctival fornix. If the lid is very tight and immobile, one should be prepared to split the lid to access the fornix.