Doctor insights on:
Is epiphora from punctal plugs harmful? I've had some overflowing of tears, but the alternative of no tears is painful.
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers