Punctal cautery for chronic dry eye -v- plugs falling out

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Punctal cautery for chronic dry eye -v- plugs falling out

Postby chriswardrobe » Tue Jul 23, 2013 9:50 pm

Hi everyone, I'm Chris and I went to my optician the other day with a sore and itchy eye and found that both lower punctal plugs had fallen out, no idea when! So now am facing large unexpected bill. He has suggested cauterisation of lower tear ducts as a permanent solution as the holes are getting larger so plugs could continue to fall out making them an expensive option ( nhs ones hurt, rubbing eye outside of tear ducts ). Cauterisation is cheaper anyway but I cannot base my decision on that. Am happy to pay him to do it rather than nhs as he is experienced and I trust him but I am still a little scared and cautious and wouldnt 'go private' hospital wise as it was Moorfields eye hospital who were happy to take my money after I passed their examination for the LASIK/Lasek and I thought I'd picked the best rather than a cheap clinic. I booked the treatment and had a last minute gut feeling that my eyes werent right so went to see my optician from years ago who by coincidence is a dry eye specialist and he saved me from making a huge mistake of having LASIK by diagnosing dry eye so I have huge respect for him. Sorry for rambling but would appreciate any comments from anyone who has had the cautery done please. I use theratears drops and have started the nutrition again but all cost so also wondered if there are any alternatives on prescription as I prepay for mine so would be more cost effective. Many thanks for any advice. Best wishes Chris
chriswardrobe
 
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Re: Punctal cautery for chronic dry eye -v- plugs falling ou

Postby PaulaJane » Sun Aug 11, 2013 9:15 am

Hi Chris
I had both my bottom tear ducts cauterized 7 years ago now. I had similar problems with punctal plugs i.e they wouldn't stay in. I found the proceedure quick, painless - anaesthetic used, the main problem was the noise - sounds like a firework crackling. For me, it was worth the couple of minutes it took for the relief it has given me. The thera tears retention is much improved.
PaulaJane
 
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Re: Punctal cautery for chronic dry eye -v- plugs falling ou

Postby PaulaJane » Mon Nov 04, 2013 3:57 pm

Hi
I can see that this has had over 1,000 views, so I felt I ought to expand on what I posted back in August. I would urge anyone considering a cautery to ensure that it is done by the right person, carefully and with adequate anaesthesia. Please check out the practitioner's qualifications. Try punctal plugs first if you are in any doubt. A cautery should be done only if it is really necessary. Apparently, it is not easy to redo, hence the warning re the practitioner's qualifications. For me personally, punctal plugs didn't work. Despite trying various sizes and types they would not stay in. My practitioner, who is highly qualified and who I trust implicity, advised cautery. It was done with local anaesthetic, was quick, painless, if a little noisy. It was done 7 years ago, I personally have had no problems and for me, it helps the thera tears retention. My dry eye symptoms have been described as chronic.
If anyone needs further help or explanation, please ask. However, I can only comment on my own personal experience purely as a patient.
PaulaJane
 
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Re: Punctal cautery for chronic dry eye -v- plugs falling ou

Postby chriswardrobe » Wed Nov 06, 2013 8:59 pm

Many thanks Paula Jane. It is a scary prospect and I am grateful to hear the voice of experience. I do trust my optician who would be doing the procedure but am still not sure. A lot of people seem interested as you say but you are the only reply I've had. May I ask who did yours? Thanks
chriswardrobe
 
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Re: Punctal cautery for chronic dry eye -v- plugs falling ou

Postby PaulaJane » Thu Nov 21, 2013 8:49 am

Hi Chris
Glad to be of help. My procedure was done by Andrew Matheson, who is based in Hants. A full dry eye evaluation would be needed first.
PaulaJane
 
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