J. Justin Older, MD, an oculoplastic specialist here, instead uses the device to dilate the stenotic punctum and canaliculus. Dr. Older has used the mini-Monoka for the past 2 years.

6 The lower eyelid is everted and a lacrimal probe is inserted into the inferior canaliculus. A diamond shape of conjunctiva and lower eyelid retractors posterior to the lacrimal punctum is ...