A simple outpatient method of alleviating epiphora caused by absence of the lacrimal puncta is described. Its use in isolating 22 absent puncta in six patients is presented. The high percentage of patent canaliculi associated with absent puncta (77% in this series) supports the use of this technique as the initial treatment of epiphora with absent puncta.
Putterman AM. Treatment of Epiphora With Absent Lacrimal Puncta. Arch Ophthalmol. 1973;89(2):125-127. doi:10.1001/archopht.1973.01000040127016