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this is Richard Allen at the University of Iowa this video demonstrates treatment of a right upper lid canaliculi TISS the patient has a history of irritation and discharge from the right eye examination showed purulent material expressed from the right upper punctum a punk tile spare an incision is then made medial to the punctum with an 11 blade in the area of the canaliculi 2 cotton tipped applicators are used to express a stone from the colliculus the stone should be examined to look for any foreign body it is sent to the pathologist also for evaluation additional material is expressed from the colliculus consistent with Podge and a granuloma Wescott scissors have been used to further open the colliculus medially to examine the area for a retained foreign body as a retained puncta plug is the most common cause of canaliculi tiss in my experience the chalazion curette has then used to further investigate the area a punk tile dilator is then used to ensure the punctum is Payton the l
