Evaluation External examination: The puncta and eyelids (ectropion,punctal obstruction -eyelash,conjunctivochalasis, eversion of punctum by large caruncle, canaliculitis,canturion syndrome -prominent nasal bridge) The lacrimal sac (palpation) Evaluation • External examination: – The puncta and eyelids (ectropion, punctal obstruction – eyelash, conjunctivochalasis, eversion of punctum by large caruncle, canaliculitis, canturion syndrome – prominent nasal bridge) – The lacrimal sac (palpation)