A retrospective case note study, in which the patients that had a DCR by one author were included. Out of a total 597 DCR done in the period 1990-2000 seventeen cases had a dacryolith. A control group (CG) of 13 cases from the same cohort was used for comparison. In the dacryolithiasis group (DG) female to male ratio was 4:1. These cases were 10 year younger and presented 4 times earlier than the CG. Main clinical features in the DG were intermittent epiphora, non-infectious acute dacryocystitis and bloody tears, compared to chronic epiphora in CG. Seventy-six percent cases of the DG had medium to large sized stone. All cases had an external DCR with good outcome. We had a lower incidence of dacryolithiasis compared to the literature reviewed. The clinical features were in accordance with major studies.