Also called punctoplasty. It widens the small drainage opening in the lid when that opening has narrowed.
What it is
Tears leave the eye through a tiny opening in the inner corner of each lid. If that opening narrows, tears cannot drain. Widening it is a short, simple procedure.
The operation
The opening is widened with a small snip under local anaesthetic, in the clinic or theatre.
It takes about fifteen minutes and you go home straight away.
What it does not do
It only helps when the narrowing is at the opening itself. A blockage further down needs tear duct surgery.
Who it can help
It may suit you if widens a narrowed drainage opening in the lid is what you notice most, and you are otherwise well.
- A watering eye with a narrowed opening seen on examination
- Tears that drain normally when the opening is stretched
- No blockage lower down on syringing
- Watering that is worse in wind or cold
Your consultant will syringe the drainage system first, to be sure where the problem is.
Recovery and risks
This is a typical course. Your consultant will explain the plan for your own operation and when the tube comes out.
The first two days
Expect some blood-stained tears and a blocked nose. Avoid blowing your nose.
The first week
Bruising around the nose and eye settles. Most people are comfortable at home.
Weeks two to four
You are reviewed in clinic, and the soft tube is removed when your surgeon is ready.
Three months
The passage has healed. Your final review checks that tears are draining.
Possible risks
Every operation carries some risk. For tear duct opening procedure these include:
- Nosebleed in the first day or two
- Bruising around the nose and eye
- A small scar beside the nose, where one is needed
- The new passage narrowing again in time
- Infection, which is uncommon
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Tear duct opening procedure is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Does it hurt?
The anaesthetic stings for a moment. The procedure itself is quick and not painful.
Will the watering stop?
It often improves when the narrowing was the cause. Your consultant will explain what they found.
Can I go back to work?
Most people go back the same or the next day.
Is it covered?
Usually yes.