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Watery/Dry Eye Management

Watery/Dry Eye Management


This is a surgical procedure carried out at the Lacrimal punctum, in order to restore the drainage of tears in one or both eyes. Tears produced help to moisten the eyes and keep them clean and lubricated. Excess tears get drained via the puncti; plug hole, through tiny channels found on the inner side of the eyelids into the tear sac, then the tear duct, nose and finally down the throat. Our ophthalmologist can perform the blocked tear duct surgery endoscopically for the correct wetness/dryness management of the eyes.

Aim of Punctoplasty:

The aim of a punctoplasty is to open up the closed or narrowed puncti (plug hole) of the lower eyelid, so allowing your tears to drain into the outlet pipe and into your nose and down your throat.

What does the procedure invlolve?

The operation is performed under a local anesthetic – this means you will have eye drops to numb your eye(s) and the site of the operation. Also, a small injection of a local anesthetic is given into the inner corner of your lower lid(s). Both the eye drops and the injection will sting quite severely for about 30 seconds – they however do not interfere with your vision. A small sterile instrument that looks like a metal pencil is used to identify and enlarge the puncti enough to allow the tip of a small pair of sterile scissors into the puncti and one, two or three snips are made to permanently enlarge the puncti. At the end of the operation either eye drops or ointment are put into your eye(s). It is not common practice to cover the eye with an eyepad after this type of operation.


You are advised to gently clean the eye on the first morning and whenever you think it necessary. Before leaving our clinic you will have been given either eye drops or ointment to put in three times a day for a week. These are a combination of an antibiotic and an anti-inflammatory and their aim is to ensure the small wound heals without problems. Always wash your hands before and after putting in any eye medication and we advise you not to rub your eye. There are no restrictions to your activities, including going back to work, but be aware that the eye ointment will blur your vision so you should not drive or operate machinery immediately after you have used it.