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October 1950


Author Affiliations

Richmond, Va.

AMA Arch Ophthalmol. 1950;44(4):600-601. doi:10.1001/archopht.1950.00910020610012

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To the Editor.  —In a recent article by Dr. Martin P. Koke, entitled "Treatment of Occluded Nasolacrimal Ducts in Infants," published in the April 1950 issue of the Archives, page 750, the author reports his experience in the treatment of congenital impatency of the nasolacrimal duct and discusses an article on the same subject published by us (Congenital Impatency of Nasolacrimal Duct, Arch. Ophth. 39: 193 [Feb.] 1948). In his article Koke states, "In none of the cases reported by Guerry and Kendig did treatment with massage and local antiseptics, as prescribed by them, for an average time of 2.3 months, correct the occlusion." This is the exact antithesis of our statement, for in every case in our series, 12 in number, the condition cleared under conservative treatment. Koke also takes issue with our thesis that probing through the upper punctum results in the creation of fewer false passages. His

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