2. ROPLAS TEST
Regurgitation on pressure over lacrimal sac used to check lacrimal patency.
Roplas test may be +ve (if mucus discharge) or –ve (if no mucus discharge).
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3. Procedure
• We start by palpation and apply pressure over the lacrimal sac with index
finger and press inwardly.
• Look for regurgitation of mucopurulent discharge from the puncta.
• Case 1: if mucus discharge regurgitating from puncta indicates the blockage of
nasolacrimal duct, which is +ve roplas test.
• Case 2: no mucus discharge indicates normal nasolacrimal duct, which is –ve
roplas test.