Are there any dangers to punctual plugs?

Discussion in 'Optometry Archives' started by private, Oct 10, 2003.

  1. private

    private Guest

    What is its track record on helping dry eyes out due to amblyopia?
    private, Oct 10, 2003
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  2. private

    LarryDoc Guest

    Huh? What does one have to do with the other?

    And what does the subject have to do with the text?
    LarryDoc, Oct 10, 2003
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  3. private

    Dr Judy Guest

    I don't understand your question. Amblyopia is not a cause of dry eye, dry
    eye is not a cause of amblyopia.

    Punctal plugs do not dry eyes out, they help keep dry eyes moist.

    Dr Judy
    Dr Judy, Oct 10, 2003
  4. private

    private Guest

    I know someone who has amblyopia. A long time ago
    doctors did surgery on his eyelid muscle. They cut it
    for some reason. Anyway... his eyelid doesn't close
    all of the way because of the shortened muscle hence
    dry eyes. He needs relief.
    Can a punctual plug help him.
    private, Oct 11, 2003
  5. If someone has an eyelid doesn't close fully, it is not due to cut lid
    muscle - that would make it droop. Be that as it may, if the lid does not
    close fully, puntal plugs may help the expousre keratitis he gets from the
    eye drying out. So can artificla tears and other lubricants, up to a point.
    He may rather need further lid surgery to help get the lid closure better.
    Taping the lid closed at night may help because when the eye is not moving
    much at night, and is open, it driees out more, esp. in those patients where
    the eyeball doesn't roll up under the lid when sleeping (Bell's phenomenon).

    David Robins, MD
    Board certified Ophthalmologist
    Pediatric and strabismus subspecialty
    Member of AAPOS
    (American Academy of Pediatric Ophthalmology and Strabismus)

    David Robins, MD, Oct 11, 2003
  6. private

    Dr Judy Guest

    Your friend may have been born with congenital ptosis. In ptosis the upper
    lid does not work and eye is closed all the time and the closed eye causes
    amblyopia. Surgery is done to raise the lid so that light can get to the
    eye and often the eye will then not close fully.

    Artificial tears and/or punctal plugs may help. Your friend needs a
    professional opinion.

    Dr Judy
    Dr Judy, Oct 12, 2003
  7. private

    MSEagan Guest

    I have both conditions even though they are not related. I got plugs
    inserted about 3 years ago and, though they have not totally eliminated the
    dry eye problem, they have helped a great deal. I have had no negative side
    effects and do not even notice them. Now if only adult amblyopia were so
    easily remedied...
    MSEagan, Oct 15, 2003
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