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Sangki Jeong, MD; Yeoung Geol Park, MD
Kwangju, South Korea

Arch Ophthalmol. 1999;117:1666-1667.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 63-YEAR-OLD man had a 30-year history of tearing from the right eye, accompanied by purulent discharge and erythematous swelling of the lower canaliculus and medial canthal region. The patient's medical history disclosed that 30 years ago the patient's lacrimal excretory system was probed with a tiny tree branch by a neighborhood nonphysician. After an unsuccessful attempt of probing with the tiny tree branch, epiphora persisted and the episodes of inflammation frequently occurred. He had been treated by a general ophthalmologist for chronic dacryocystitis. Finally he was referred to the Oculoplastic and Orbital Surgery Service, Department of Ophthalmology, Chonnam University Hospital, Kwangju, South Korea, for external dacryocystorhinostomy.

The gross ophthalmic examination revealed an inflamed lower canaliculus (Figure 1). Mucopurulent material could be expressed from the punctae. Saline solution irrigation of the canaliculi disclosed that the nasolacrimal drainage system was open. Dacryocystography . . . [Full Text of this Article]

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