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Punctal diameter, tear meniscus height (TMH) and Munk's score were compared to the control group pre and post therapy. Results The mean OPD for the PEG before treatment (455.5 ± 174 µm) was considerably smaller compared to that of the CG (590.9 ± 106.6 µm) (P= 0.002). The mean OPD regarding the PEG dramatically risen up to 484.6 ± 175.5 µm after treatment (P less then 0.001). Also, the presence of vertical canaliculus lumen and PD were restored in 70% of eyes. The TMH ended up being m