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A 43-year-old man presented with a mass, as shown above in the picture, situated between the palpebral opening and the nose. It has been present for many weeks and is getting larger. The examination of the eyes was otherwise unremarkable and vision was 20/20 in each eye.

1.	This condition involves the:
	a. caruncle b. plica semilunaris c. canthal tendon d. lacrimal sac e. none of the above
2.	Immediate treatment would be:
	a. incision b. drainage c. packing open d. allowing to heal by secondary intention e. all of the above
3.	Ultimate treatment would be most likely to involve:
	a. dacrycystorhinostomy b. dacryocystectomy c. irrigation and probing d. placement of a stent e. (a) or (b)

For answers to the above, click here on or after November 8, 2011.