A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis

Figure 1

(a) Appearance of grade 0 lower punctal stenosis. (b) Using the pigtail probe to detect the stenosed lower punctum. (c) Opening of the lower punctum. (d) Inserting the self-retaining bicanalicular stent through the patent upper punctum and canaliculus. (e) Inserting the self-retaining bicanalicular stent through the patent lower punctum and canaliculus. (f) The final appearance after insertion of the stent.