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Medical Forum / General / Vision / June 2006flushing out punctal plugs
I've had punctal plugs placed in the lower puncta. I was wondering what the procedure is for getting them out, when they have sunk into the canal. Does it involve physical extraction, or flushing with a miniature hose or something? All I found on the net regarding this matter was on a "Lacrimal Plugs Consent Form" where it says: "Occasionally it is difficult to remove canalicular or buried punctual plugs". I think my punctal plugs are burried. [extra stuff] I can now wear contacts more comfortably (before I could only stand them for 2 hours or so), and at times it's like the contacts are not there, but more often than not they still bother me. The downside is that I have build up of crud that I have to wash out periodically (I guess because the lower drain is blocked, which should tell anyone that, you shouldn't cover the lower puncta unless you are in a serious predicament). [/extra] > I've had punctal plugs placed in the lower puncta. I was wondering > what the procedure is for getting them out, when they have sunk into [quoted text clipped - 14 lines] > that, you shouldn't cover the lower puncta unless you are in a serious > predicament). There are two types of plugs: punctal and intracanalicular. The latter plug is designed to be inserted into the horizontal canaliculus. The former is retained within the punctum by a flange that remains external, and can be seen. The correct procedure for removal of an intracanalicular plug is via irrigation using a syringe and a cannula. Occasionally, gentle passage of a probe may be required. A buried punctal plug will probably require more invasive procedures to remove, because of its design and depending on where it is located. DrG > A buried punctal plug will probably > require more invasive procedures to remove, because of its design and > depending on where it is located. > > DrG Is it easy to detect if the plug is there at all? Is sonar or something like that used? What do you mean by "more invasive"? > > A buried punctal plug will probably > > require more invasive procedures to remove, because of its design and [quoted text clipped - 4 lines] > Is it easy to detect if the plug is there at all? Is sonar or > something like that used? What do you mean by "more invasive"? Sometimes the plug can be seen by retroilluminating the eyelid, i.e. shining a light through from the back and observing the shadow from the plug. Other times it can be detected with a probe. By more invasive, I mean surgery, a dacryocystorhinoplasty, or DCR. I'll leave it to you to Google that. DrG > By more invasive, I mean surgery, a dacryocystorhinoplasty, or DCR. > I'll leave it to you to Google that. > > DrG Thanks! I think the spelling for the surgery is Dacryocystorhinostomy, as you will get only a handful of results for the former. Your spelling is actually pretty good. |
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