Editors' Choice

    Dr. Richard C. Allen performs a canaliculotomy in a patient with chronic discharge, presumed canaliculitis, and a history of lateral tarsorrhaphy and upper and lower punctal plugs. First, scissors are used to make an incision along the canaliculus of the lower lid. He then uses cotton-tipped applicators to express the stone, and additional material is removed with a chalazion curette. The stone will later be examined for presence of a punctal plug and the other discharge sent to the pathologist for evaluation. The canaliculotomy is then performed along the upper eyelid. Dr. Allen does not close the incisions with sutures.