The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
This 44 year-old woman complained of left
epiphora. Examination revealed the presence of mucous at the upper punctum.
Compression of the lacrimal sac clear the punctum. Syrining of the lower
punctum comfirmed nasolacrimal duct blockage with the injected fluid
regurgitated from the upper punctum.
Upper punctum blocked by mucous
The punctum cleared via compression of
the lacrimal sac.