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Dry Eye & Ocular Surface

Punctal Plugs

Tiny plugs that close the tear drainage duct so tears stay on the eye longer. Helpful for aqueous-deficient dry eye. Quick, painless placement, temporary or permanent.

Punctal Plugs

What Are Punctal Plugs?

Punctal plugs (also called tear duct plugs) are tiny devices placed in the punctum, the small opening where tears drain from the eye into the nose. By partially or fully closing that drainage point, tears stay on the eye’s surface longer, keeping it lubricated for extended periods.

The idea is simple and effective: if your eye isn’t producing enough tears, holding on to what it does produce makes a real difference in comfort. Think of it like putting a stopper in a sink drain so the water doesn’t run out so fast.

Who Is a Good Candidate?

  • Aqueous-deficient dry eye (low tear production)
  • Dry eye linked to aging or certain medications
  • Sjögren’s syndrome and other causes of low tear production
  • As a complement to other treatments when lubrication alone isn’t enough

Your specialist confirms whether punctal plugs are right for you based on the type of dry eye identified during the diagnosis at the Dry Eye Spa.

Temporary or Permanent

  • Temporary: made of a material that dissolves on its own over weeks or months. Useful for testing whether the treatment helps before committing to a permanent option.
  • Permanent: made of silicone, they stay in place long-term and can be removed if needed.

In select cases, a surgical alternative exists, cauterizing the punctum, for a permanent closure.

What to Expect During Placement

  1. Anesthetic eye drop applied to the eye.
  2. The plug is placed in the punctum, taking just seconds.
  3. You’re free to go immediately, no special aftercare needed.

It’s painless, takes just a few minutes, and requires no incisions or downtime. You can go right back to your normal activities.

Why Choose Centro Láser for Punctal Plugs

At Centro Láser, punctal plugs are prescribed as part of the Dry Eye Spa, based on a diagnosis that precisely distinguishes aqueous-deficient dry eye from evaporative dry eye, so we make sure it’s the right treatment for your case. We combine them with thermal therapy, IPL treatment, and lubrication as part of a complete ocular surface care plan.

What you should know
about Punctal Plugs

Punctal plugs are tiny devices, thinner than a grain of rice, placed in the punctum (the small opening where tears drain into the nose). By partially or fully closing that drainage point, tears stay on the eye's surface longer, keeping it lubricated. Think of it like putting a stopper in a sink drain so the water doesn't run out so fast.

Mainly for aqueous-deficient dry eye, meaning the eye isn't producing enough tears, due to aging, certain medications, or Sjögren's syndrome. By preserving the limited tears available, they significantly improve comfort. Your specialist confirms whether they're right for you based on the type of dry eye identified during your diagnostic exam.

No. They're placed during a regular office visit with an anesthetic eye drop, in just a few minutes, and most patients feel nothing or only brief, mild pressure. No incisions are needed, and you can return to your normal activities right away. It's one of the simplest procedures in dry eye treatment.

Both options exist. Temporary plugs are made of a material that dissolves on its own over weeks or months, useful for testing whether the treatment helps you. Permanent plugs are made of silicone and stay in place long-term, though they can be removed if needed. Your specialist chooses based on your case. In select situations, a surgical alternative exists (cauterizing the punctum).

Occasionally a plug may come out on its own with no consequences, and it can be put back in if it was helping. Rarely, plugs cause discomfort or excess tearing (if they're retaining too much tear fluid), issues that are easy to fix by adjusting or removing the plug. Overall, they're very well tolerated and reversible, which makes them a safe option.

Our specialists
in Punctal Plugs

Are you a candidate for Punctal Plugs?

Book your evaluation with our specialists.