Treatment Ectropion or entropion -lid repair. Primary punctal stenosis -dilatation with Nettleship dilatator,punctoplasty. Secondary punctal stenosis -Ziegler cautery, medial conjunctivoplasty,Lower lid tightening. Canalicular obstruction -partial:intubation; total:canaliculodacryocystorhinostomy and intubation or CDCR and the insertion of Lester Jones tube.Treatment • Ectropion or entropion - lid repair. • Primary punctal stenosis – dilatation with Nettleship dilatator, punctoplasty. • Secondary punctal stenosis – Ziegler cautery, medial conjunctivoplasty, Lower lid tightening. • Canalicular obstruction – partial: intubation; total: canaliculodacryocystorhinostomy and intubation or CDCR and the insertion of Lester Jones tube