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Letter to the Editor
Intranasal passage of dacryoliths
  1. WILLIAM J ROSEN
  1. Dartmouth Medical School, Hanover, NH, USA
  2. Moorfields Eye Hospital, London, England
  1. GEOFFREY E ROSE
  1. Dartmouth Medical School, Hanover, NH, USA
  2. Moorfields Eye Hospital, London, England
  1. William J Rosen, MD, Section of Ophthalmology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA william.j.rosen{at}hitchcock.org

https://doi.org/10.1136/bjo.84.7.799a

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    Editor,—Causes of tearing fall into two broad categories—hypersecretion and lacrimal drainage insufficiency. We present two patients in whom chronic intermittent epiphora resolved after the passage of putty-like casts of the nasolacrimal duct and sac.

    CASE 1

    A 33 year old man was referred to the Dartmouth-Hitchcock Medical Center with an 8 year history of intermittent right sided tearing. Several previous irrigations of his right lacrimal drainage system had temporarily settled the symptoms.

    On examination, the patient exhibited tearing of the right eye and marked pain, tenderness, and erythema at the right medial canthus. During lacrimal irrigation through the right lower canaliculus, a mass of material entered the …

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