A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis

Table 3

Munk score [16].

Grade	Clinical finding
0	No epiphora
1	Occasional epiphora requiring drying or dabbing less than twice a day
2	Epiphora requiring dabbing two to four times per day
3	Epiphora requiring dabbing five to ten times per day
4	Epiphora requiring dabbing more than ten times daily or constant tearing