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Figure 1: The upper punctum could not be clearly visualized owing to overlying discharge (black arrow in Figure 1a). On clearing the discharge, a yellowish canaliculolith (black arrow in Figure 1b) was seen plugging the pouting punctal opening. Using two cotton tip applicators, the canaliculus was squeezed, and multiple yellow, small, firm bits of granular material were expressed out (black arrow in Figure 1c) |
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