The author's modification is designed to prevent hemorrhage during or after operation, and to promote primary healing. After removal of the sac and trephining, a folded strip of gauze is inserted in the trephined opening, by way of which it is afterward pulled on out through the nose with a pair of nasal forceps. A little of the gauze pack is withdrawn daily through the nose and cut off. The modification may be applied to every type of external dacryocystorhinostomy. From the eye department of the Jewish hospital in Budapest, Hungary.