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Dr. Ravi Ranjan is a renowned Ophthalmologist at Awadh Medicare, Bikramganj, Bihar. He is known for the innovation of unique method of lacrimal surgery to enable performing the surgery at a very low cost. He has been awarded a gold medal for his innovation. Chronic dacryocystitis is one of the most common condition prevalent in the rural population. The condition can easily be diagnosed with the help of regurgitation of pus felt upon placing a finger on the affected area. The management of the condition requires a lacrimal surgery. The condition is usually treated with a chronic dacryocystorhinostomy. Since the condition is more prevalent among the rural population, therefore, offering surgery at a low cost is essential. In this exclusive commentary, Dr. Ravi Ranjan focuses on the management of chronic dacryocystitis with chronic dacryocystorhinostomy.