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Dry Eye Treatments / Punctal Plugs

A Highly Successful Way To Manage Dry Eye Symptoms

Punctal plugs are tiny silicone plugs that close the tiny opening of the inner corner of the eyes. The plugs are inserted directly into the upper and lower tear ducts. They work as a closure that helps to conserve both natural and artificial tears, making it easier to avoid relying on eyedrops throughout the day. This alleviates dryness or irritation.

How Punctal Plugs Relieve Dry Eye

Punctal plugs work by blocking the tear drainage channel, which is located in the inner corner of the eye and allows the moisture to remain in the eye for a longer period of time.

This benefits those who suffer from serious dry eye conditions and is known to have a high success rate compared to other treatments that are available. This low-cost option is an effective way of managing dry eye syndrome. Although the plugs are not painful to have inserted, patients may feel a bit of resistance before the plugs naturally pop into place. Many patients report the plugs are comfortable once they are properly inserted.

How Are Punctal Plugs Inserted Into The Tear Ducts?

Punctal plugs can be inserted into the puncta of the lower lids, the upper lids, or both. After measuring the size of your specific tear ducts, Dr. Ramsarat will select the right size of plugs for you. He will measure your tear ducts either by examining your eyes with a light, or by using a special tool. You may be given anesthetic eyedrops before the procedure. Sometimes the tear duct opening is dilated for easier insertion. Patients are typically able to drive themselves home and go back to their regular day after punctal plug insertion.

Diagram showing placement of punctal plug on the inside of the eye next to the bridge of the nose.

Possible Side Effects and Issues

If for any reason you need the punctal plugs to be removed, either forceps or flushing with a saline solution will be used.

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I have been a patient of Dr. Ramsarat since 2017. She is truly an amazing doctor! The level of care received at her facility is phenomenal. The staff are so friendly and respectful. I am honored to be a patient here. Such a great place to receive the best eye care possible. I highly recommend Dr. Ramsarat. She doesn’t stop until your eye care needs are met. I suffer from several eye conditions. Dr. Ramsarat provided me vision I have never experienced in my life. Please schedule your appointment! You will not be disappointed.

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