The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Punctal stenosis

Photo by Professor Chua Chung Nen

This 50 year-old man complained of recurrent left epiphora. The punctum and the lower eyelid were in good position. The tone of the lower eyelid was normal. Syringing was difficult due to a small punctum but otherwise the nasolacrimal duct was patent. A 2-snip operation was performed to facilitate the tear drainage. The epiphora resolved at the follow-up clinic.

 

Tight lower punctum.

 

A pair of Vennar scissors were used to perform the 2-snip operation.

 

At the completion of 2-snip operation.

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