What is a punctum and what are punctal plugs? (Posted: apr 2003)

Summary: Punctal plugs are tiny, usually plastic "plugs" inserted into the tear ducts to prevent tear drainage, "trapping" tears in the eyes.

Why should I get collagen plugs inserted first? (posted: apr 2003)

Summary: Collagen plugs dissolve by themselves in a few days and are a good way to test the general concept of punctal plugs before committing to permanent ones.

What is it like to get plugs? Does it hurt? (posted: apr 2003)

Summary: The puncta are anaesthetised and then stretched before insertion. Insertion techniques vary by type of plug. It shouldn't hurt.

Is it permanent? (posted: apr 2003)

Summary: Punctal plugs are meant to be permanent. Some types can be removed. Sometimes plugs can fall out. Depending on the type of plug it may be difficult to determine whether they are still there.

Will plugs work for me? (posted: apr 2003)

Summary: Plugs are most likely to work for patients who have aqueous deficiency.

Should I do uppers, lowers or all four? (posted: apr 2003)

Summary: Conventional wisdom is to plug the lowers only at first. There are other approaches as well.

Are there different types of plugs? (posted: apr 2003)

Summary: There are several different designs, sizes and materials.

What are the differences between different brands of plugs? (posted: apr 2003)

Summary: See reference list of brands of punctal plugs.