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Gp/Optom Treats for 6 weeks as blepharitis and dry eye 1. Lid hygiene 2. Fucithalmic lid scrub 3. Artificial tears 4. Warm Bicarbonate soda eye soak Lacrimal/Oculoplastic clinic Refer only if patient accepts surgery if offered
Lacrimal/Oculoplastic clinic
Fully or partially patent on syringing Consider Flow problems and give decongestive regime If no better, list for lid/lacrimal surgery
Blocked on syringing List for Lacrimal surgery
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