AIM: To observe the curative effect of different operative methods on acquired lacrimal point stenosis or adhesion, and to investigate the better treatment method for them.

METHODS: Totally 52 cases(72 eyes)suffered from acquired lacrimal point stenosis or adhesion, were divided into treatment group and control group by random number table, in which 27 cases(36 eyes)in treatment group were treated by modified tear incision combined with silicone tube implantation, 25 cases(36 eyes)in control group were treated by silicone tube implantation. All cases were followed up for 12mo.

RESULTS: The total effective rate of the treatment group was 94%. The total effective rate of the control group was 78%. The difference between two groups was statistically significant(P<0.05). Silicone tube shedded in two eyes in treatment group and three eyes in control group. The rate of silicone tube shedded in two was 6% and 8%, respectively. The difference between two groups was not statistically significant(P>0.05). None case had lacrimal point tear in two groups.

CONCLUSION: Modified tear point incision combined with silicone tube implantation is the better operative methods on acquired lacrimal point stenosis or adhesion. It is easily operating, less damage with quick recovery. And effective rate is high.