All ophthalmologists recognize that excision of the lacrimal sac is a most effective operation for the removal of suppuration in dacryocystitis. Nevertheless, the discomfort from tearing which frequently follows, even after removal of the accessory lacrimal gland, has induced various surgeons to attempt, by more conservative means, to overcome the suppuration by reestablishing lacrimal drainage.
The first of these methods was the "dacryocystorhinostomie" of Toti,1 which was described by him in 1904, and has since been modified by others, especially Dupuy-Dutemps2 and Mosher.3 In 1910, West4 advocated his intranasal operation, although this route had been used first by Caldwell5 in 1893. Since then various modifications of this operation have also been described.
In 1919 Dr. Gordon Byers, my chief in the department of ophthalmology at the Royal Victoria Hospital, assigned to me all lacrimal cases suitable for the West operation, with a view
MacMILLAN JA. TRANSPLANTATION OF THE LACRIMAL SAC IN CHRONIC SUPPURATIVE DACRYOCYSTITIS. Arch Ophthalmol. 1932;8(6):831–836. doi:10.1001/archopht.1932.00820190049004