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

Table 1

Grading of punctal stenosis according to Kashkouli et al.’s score [14].

Grade	Clinical findings
0	No punctum (agenesis)
1	Papilla is covered with a membrane (difficult to recognize)
2	Less than normal size, but recognizable
3	Normal
4	Small slit (<2 mm)
5	Large slit (≤2 mm)