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A watery eye could be due to the stenosis or closure of the punctum of the eyelid. The punctum is the entrance of your tear drainage system situated on the inner corner of your eyelid.


To help with the outflow of tears form your eyes a punctoplasty is carried out.

The procedure is done under a local anaesthetic and can usually be done in the treatment or minor operating room. Sometimes a microscope is needed and the operation may then need to be done in the main operating theatre. You do not need to stay overnight and it can be done as a day case. The procedure takes about 20 minutes to do.

Post operatively you will be given an eyedrop, which is a combination of a steroid and an antibiotic to be instilled four times a day for 2 weeks.

Sometimes it is not possible to syringe the tear duct before the procedure, as the opening is blocked hence it is possible that

  1. It may not be possible to perform the punctoplasty as there is no opening to be found
  2. The canaliculus is blocked along with the punctum
  3. Even though the punctoplasty is successful, there may be a blockage further down the tear drainage passage and hence the watering may persist.

Infection, bleeding and scarring remain a risk with any operation.

It’s natural to feel anxious when it comes to treatment and surgical procedures especially in relation to your eyes. I encourage you to ask questions about your condition, so I can help you to be better informed of your condition, the treatment options available and allay any fears that you may have. During the consultation I will explain the procedures to you and help you to make positive choices, and remember there is always the option of doing nothing, so you have nothing to worry about.

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Mrs Katya Tambe