Punctoplasty Periprocedural Care

Updated: Feb 10, 2017
  • Author: John Tong, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
  • Print
Periprocedural Care

Pre-Procedure Planning

Equipment

The following equipment is used to perform punctoplasty:

  • Ophthalmic anesthetic drop (eg, proparacaine)
  • Lidocaine (1% or 2%) with 1:100,000 epinephrine
  • Punctal dilator
  • Vannas scissors
  • Toothed forceps, 0.3 mm
  • Antibiotic ophthalmic ointment (such as erythromycin)
Next:

Patient Preparation

Anesthesia

Punctoplasty can be routinely performed in an office setting using local anesthesia.

Positioning

Punctoplasty can be performed with the patient sitting in the examination chair or lying supine on a procedure table.

Previous
Next:

Monitoring & Follow-up

Patients should be examined several days after the procedure to monitor for infection and recurrence of the punctal stenosis.

Another follow-up examination may be performed in several months to check for recurrence of the punctal stenosis.

Previous