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1. the lacrimal sac and area surrounding it is anaesthetized with xylocaine 2% with adrenaline.

2. about 2 cm long skin incision is made 3 mm medial to the inner canthus .

3. orbicularis muscle is split along the incision line.

4. lacrimal fascia is exposed and incised.

5. lacrimal sac is drawn forward and twisted and torn away from the nasolacrimal duct .

6. the upper end of the duct is curetted and incision is closed by sutures.

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12y ago

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