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What instruments are typically used to enlarge the punctum?

  1. Curette and Scissors

  2. Dilator and Forceps

  3. Scalpel and Curette

  4. Forceps and Scalpel

The correct answer is: Dilator and Forceps

Dilators and forceps are specifically designed instruments used to enlarge the punctum during procedures such as dacryocystorhinostomy (DCR) or when performing lacrimal probing. Dilators are used to dilate and widen the punctum, while forceps are used to grasp and hold the edges of the punctum. Options A, C, and D are incorrect as curettes, scissors, and scalpels are not typically used for enlarging the punctum during these procedures. Curettes are commonly used for scraping or debriding tissues, scissors are used for cutting, and scalpels are used for making incisions.