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February 1962


Author Affiliations

Scott and White Clinic Temple, Texas

Arch Ophthalmol. 1962;67(2):275. doi:10.1001/archopht.1962.00960020277023

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To the Editor:  —Recently, Dr. Lester T. Jones wrote: "The '3-snip' operation should be outlawed [An Atomical Approach to Problems of the Eyelids and Lacrimal Apparatus, Arch Ophthal 66:111, 19611. It has no justification from an anatomical standpoint and has ruined many normal canaliculi. The ampulla, which it destroys, is a nearly indispensable part of the lacrimal pump."I have performed the very simple and useful 3-snip procedure many times, and the results have been very satisfactory. The procedure is especially valuable when both the upper and the lower puncta are stenosed completely. In a patient with complete stenosis of the upper and the lower puncta who is treated with the 3-snip procedure, subjective improvement may be marked; to establish objective improvement, the dye test should be employed. Fluorescein solution which is instilled into the conjunctival sac will flow promptly into the nose, whereas preoperatively the dye was occluded from

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