YOU WANT TO PUT PLUGS IN MY EYELIDS?? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
January 13, 2016

When we suggest punctal “plugs” to a patient, the reaction varies from curiosity to outright panic.  While they are quite routine dry eye care, many patients have not heard of them.  The goal of the plugs is to keep the tears you have in your eyes longer, decreasing your need for tear supplements and improving your eye comfort.

On the upper and lower eyelids in each eye, there are a total of 4 small openings towards the nose which are called puncta.  Each leads to a tiny tube that drains your tears into the back of your nose. The bottom ones carry about 2/3 of the tears and the top the other 1/3. If we block the bottom puncta in each eye, your eyes stay wetter. The plugs are very small, about 1-2 mm, and made of soft plastic. They are easily inserted in the office in a matter of seconds.

Generally we do not suggest plugs at the first signs of dry eyes. We try artificial tears first. If the patient feels that they need to use the tears more than 4 times per day or they are not providing any relief, then plugs or a prescription product called Restasis may be suggested. Restasis changed the quality of the tears so they coat the eye better. As noted above, the plugs change the quantity of the tears. Sometimes both quality and quantity need improvement. Should that be the case, then plugs and Restasis might be used together.

Winter is dry eye season! The symptoms include blurred reading vision at the end of the day, feeling like there is something in the eyes, eye fatigue, red eyes and more. Give us a call if you need relief from this common eye problem.

Dr. Martha F. Jay

Martha F. Jay, Ph.D., M.D.

Dr. Martha Jay is a board certified ophthalmologist specializing in medical and surgical eye care. For more eye care information, visit or call 262-241-1919.


Dr. Martha Jay's Blogs, Dry Eye Syndrome, Medical and Surgical Eye Care, Our Doctor's Blogs


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