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The reduced eyelid rides up, while the punctum moves inwards. Rips are attracted into the punctum, canaliculus and lacrimal sac by this pump procedure. This pump mechanism is disrupted when you look at the existence of facial nerve palsy.The retrobulbar blockade was initially described by Herman Knapp in 1884. That exact same year, Carl Koller reported an instance of successful ocular enucleation making use of cocaine hydrochloride as an anesthetic broker. Years later on, Atkinson (193
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