ROPLASRegurgitation on Pressure Over the Lacrimal Sac
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In all patients compression over the lacrimal sac to look for tenderness and regurgitation on digital pressure (ROPLAS) and probe test for ROPLAS negative cases to evaluate for hard and soft stop assessed to diagnose NLDO.
A preoperative assessment of tear meniscus height was done using slit lamp after staining the tear film with 2% Fluorescein, ROPLAS (Regurgitation on pressure over lacrimal sac area) and sac syringing was performed with normal saline and results noted.