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Doctor insights on: Punctal Plugs

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Can I use restasis and punctal plugs together?

Can I use restasis and punctal plugs together?

Yes: Yes. Restasis can be used in conjunction with punctal plugs and is very effective in this scenario. The original fda data did not show benefit when used together but this subgroup was small and the study was not designed to investigate this issue. ...Read more

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Are punctal plugs safe? I heard it's an aggressive treatment and has a lot of complications.

When used properly: When used for the proper patients they are perfectly safe. I would not class them as aggressive at all. If you would prefer not to use them, there are other treatment options. ...Read more

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Do punctal plugs make much of a difference for dry eyes?

Do punctal plugs make much of a difference for dry eyes?

Yes: Punctal plugs are an excellent option for the right patient. Not every "dry eye" is the same, but for those who have a low baseline tear film and an otherwise healthy ocular surface, punctal plugs are an excellent choice. ...Read more

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Is epiphora from punctal plugs harmful? I've had some overflowing of tears, but the alternative of no tears is painful.

Is epiphora from punctal plugs harmful? I've had some overflowing of tears, but the alternative of no tears is painful.

No: Other than being an annoyance at times, you are unlikely to have other difficulties. Also, an overflow of tears is a safer state than the consequences of dry eyes. ...Read more

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What level discomfort from install punctal plugs for dry eyes? Recovery time? OPD or IPD? Can they be removed? Do they require replacements ever?

What level discomfort from install punctal plugs for dry eyes? Recovery time? OPD or IPD? Can they be removed? Do they require replacements ever?

Punctal plugs: Punctal plugs: (dissolvable or permanent) usually cause little-no discomfort. They can be removed in 99%+ cases. They can fall out on their own & can be replaced if needed. ...Read more

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Can permanent punctal plugs replace using restasis eye drops? Thank you!

Can permanent punctal plugs replace using restasis eye drops? Thank you!

No: While plugs increase the retention of your tears by closing off the drainage ducts, they don't affect the underlying inflammatory disease, namely dry eye syndrome. In other words, your dry eye disease may continue to progress with the use of plugs alone. Restasis treats the underlying inflammatory condition, both helping to increase tear production and slow progression of the disease. ...Read more

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I have dry eyes and i'm thinking of punctal occlusion. What are the risks and complications of punctal plugs and punctal cautery?

I have dry eyes and i'm thinking of punctal occlusion. What are the risks and complications of punctal plugs and punctal cautery?

Generally very safe: Punctal occlusion can be very helpful for the symptoms of dry eyes. Punctal plugs can be temporary (dissolving) or permanent (non-dissolving), but are reversible in either case. Punctal cautery is generally more irreversible and may be a little uncomfortable to have performed. The main risks are a temporary overflow of tears (epiphora) or a rub causing a plug to dislodge which then may be felt. ...Read more

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I was on accutane 3 months ago and want to get lasik. My eyes feel fine, but should I get punctal plugs to reduce the risk of dryness?

Probably not: I would discus this with your eye surgeon but if it has been 3 months or more since you are off the Accutane and your eyes feel otherwise fine, probably not needed. ...Read more