The history of fixation of the medial canthal structures is one of gradual improvement in instrumentation and technique. Today, open reduction and internal fixation remain the mainstay of treatment for the medial canthal structures. With regard to the internal fixation method, we have developed a wire passer that can facilitate wire fixation of the delicate medial canthal tendon. We present two cases that manifest abnormalities of the medial canthal tendon. Both were corrected successfully with this wire passer.