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OPHTHALMOLOGY / INSTRUMENT REFERENCE1 / 1 reference
Punctum dilator — reference view
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Tapered tip

The narrowing working end permits gradual dilation of the punctal opening.

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Punctum dilator — reference view

Image: Sarindam7 · Source / original · CC BY-SA 4.0

Resized and converted to WebP; original colours retained.

Punctum dilator

Lacrimal instruments

Punctum dilator

Nettleship punctum dilator

THE FIRST VIVA QUESTION

What is its use?

Enlarges the lacrimal punctal opening when clinically indicated before selected lacrimal procedures.

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01 / IDENTIFICATION

How to recognise it.

  1. Tapered working end
  2. Slender shaft
  3. Grip for controlled manipulation
Tell the difference.

A punctum dilator enlarges an entry opening; a Bowman probe explores or traverses the drainage pathway.

02 / NUMBERED PARTS

Point them out.

Choose a part to bring its numbered marker into view.

03 / WORKING PRINCIPLE

How it works.

A gradually widening tip mechanically dilates the opening.

04 / VIVA PRACTICE

Think first. Then reveal.

Explain your answer aloud before opening it.

01What is the punctum?
SUGGESTED ANSWER

A small opening on the eyelid margin through which tears enter a canaliculus.

02Why is the tip tapered?
SUGGESTED ANSWER

It permits graduated dilation rather than abrupt stretching.

03Is this an irrigation device?
SUGGESTED ANSWER

No. A solid dilator does not inject fluid.

04What complication can excessive force cause?
SUGGESTED ANSWER

Tissue injury, scarring or creation of an abnormal passage.

Read the references.

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