Condition and Proposed Treatment
My Ophthalmologist has diagnosed me with dry eyes syndrome. Typical symptoms of this condition include burning and (paradoxically) watering and a sensation like something is in the eye. In many cases dry eyes are caused by the body’s failure to produce enough tears. Blocking the tear drainage system with punctual or intracanalicular (tear duct) plugs may improve symptoms by keeping more tears in the eye. Severe cases of dry eye may lead to infection and in rare cases, blindness or loss of the eye.
- Artificial tears or ointment – Lubrication increases moisture on the surface of the eye. Depending on severity, these over-the-counter drops and ointments may be applied several times daily for maximal comfort.
- Restasis – Used twice daily, this prescription eye drop increases production of the body’s own tears.
- Surgical tear drainaige closure - The punctum and canaliculus may be surgically occluded by thermal cautery (heat) or ligation (suture closure).
- These methods should be considered permanent.
No Treatment – I may choose to do nothing and tolerate the symptoms of my dry eye condition.
- Infection – Any type of surgery can activate infection, the occurrence is very rare in this type of procedure.
- Excessive Tearing – In some cases, by plugging the punctum it may cause an overflow of tears. Your doctor may decide to reopen it in this situation.
- Irritation – minimum irritation and swelling can occur after the surgery, it should not last more than 2 days.
- Loss of the plug - the punctal plug may fall our or need to be replaced.
- Retention of plug in or permanent scarring of the tear duct – Although rare, plugs may become lodged in the tear drainage pathway (canaliculus) or cause scarring, very rare since these plugs are made of collagen and they usually dissolve within 2 weeks of placement.
Consent for treatment
By signing bellow, I acknowledge that I have read and understand the above and have had the opportunity to discuss this information with my doctor to my satisfaction. I consent to the permanent closure of the punctum of the: