Author Topic: Punctal occlusion  (Read 1010 times)

Sharon

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Punctal occlusion
« on: January 09, 2017, 11:03:39 AM »
Has punctal occlusion helped anyone here?
If so, to what degree?
An eye specialist highly recommended I get this done, but with a score of zero on the Schirmer's
I don't know what tears this would prevent from draining, since I have none.  ???
« Last Edit: January 09, 2017, 11:16:59 AM by Sharon »
Sjogren's, positive ANA, RNP, RNP-A, APCA salivary gland swelling, dry mouth, eyelid swelling, nasal congestion, eye redness, photosensitivity, fatigue, joint pain
multiple sensitivities and allergic reactions 
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Liz D.

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Re: Punctal occlusion
« Reply #1 on: January 09, 2017, 03:26:49 PM »
Yes, it has helped me tremendously!  I was miserable until now had it done.  I started with plugs but then opted to do the cauterization so it would be permanent and i wouldn't have to worry about plugs falling out.

I recommend starting with the plugs first and seeing if you see a difference.  I only felt the difference when I had all four plugs in but the relief was immediate.  I had a zero score in one eye and I think one in the other. So virtually no tears.  But the occlusion helped.  Even with no tears, the artificial tears will stay better on your eyes.

Hope this helps.

Liz D.
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Sjogrens Syndrome (diagnosed 2004, but problems started in 2000), Hypothryoidism, Asthma, Osteoporosis
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Sharon

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Re: Punctal occlusion
« Reply #2 on: January 09, 2017, 03:54:00 PM »
Thank you Liz, this does help me make a decision!
My eyes are so red and irritated I think I'm scaring people....
It would be great to get some relief.
He does want me to start out with the plugs for a trial, but only 2 in each eye.
Do you know how long the plugs last?
Sjogren's, positive ANA, RNP, RNP-A, APCA salivary gland swelling, dry mouth, eyelid swelling, nasal congestion, eye redness, photosensitivity, fatigue, joint pain
multiple sensitivities and allergic reactions 
Restasis, Paleo Diet, Vit. D 10,000 IU, Ubiquinol 100mg, Omega 3, Curcumin

eye2dry

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Re: Punctal occlusion
« Reply #3 on: January 09, 2017, 05:55:37 PM »


I had my lower tear ducts cauterized shut in dec. 2010 after I tried temporary
plugs for a few weeks and had good results. I too had a nearly no tears on my schirmers.
My eye dr. said that I only needed the lower tear ducts closed d/t the upper tear ducts just
didn't drain as much tears away as the lowers do.
.
Also, you have to consider that when you do apply eye drops, that with your ducts closed
the drops stay in your eyes longer...they don't drain away.

I have been using Xiidra for 2 weeks now and so far I do notice an improvement. I do not
notice a funny taste in my mouth after using them b/c my tears ducts are closed, so no
draining into my throat/mouth.

shelly
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***Lord help me to be the person my dog thinks I am***

Sharon

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Re: Punctal occlusion
« Reply #4 on: January 10, 2017, 01:27:56 AM »
Thank you Shelly!
How long do the temporary ones last?
Xidra isn't available where I live yet, but when it does become available (within a year they tell me) I'll give it a try.
Sjogren's, positive ANA, RNP, RNP-A, APCA salivary gland swelling, dry mouth, eyelid swelling, nasal congestion, eye redness, photosensitivity, fatigue, joint pain
multiple sensitivities and allergic reactions 
Restasis, Paleo Diet, Vit. D 10,000 IU, Ubiquinol 100mg, Omega 3, Curcumin

eye2dry

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Re: Punctal occlusion
« Reply #5 on: January 10, 2017, 11:16:42 AM »


My eye dr put in what he called dissolvable ones....I think he said they dissolve
in a few weeks. I am not sure if these are the same as the ones people call temporary
plugs.


shelly
medications: synthroid- Cymbalta- plaquenil- lots of supplements

***Lord help me to be the person my dog thinks I am***

Liz D.

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Re: Punctal occlusion
« Reply #6 on: January 10, 2017, 12:05:52 PM »
Sharon, for some reason, my plugs kept falling out.  I was going back to the eye doc every couple of days to have them reinserted.  I don't know what kind they were or why that kept happening.  But that is why I opted for the cauterization and have never regretted it.

Liz D.
53 year old female
Sjogrens Syndrome (diagnosed 2004, but problems started in 2000), Hypothryoidism, Asthma, Osteoporosis
Plaquenil 400 mg; Synthroid 100mcg; Evoxac, Asmanex, Flonase, Protonix 40 mg., Flonase, Prozac 40 mg. Naproxen 500 mg., Ativan as needed.  Vitamins, magnesium

Deborah

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Re: Punctal occlusion
« Reply #7 on: January 10, 2017, 12:49:01 PM »
Sharon:

I had temps for approximately 3 weeks before dissolving, then went to permanent plugs (bottom only) and have seen significant improvement. Chose not to try cauterization. Also use Restasis.

Deb
Female 65, Diagnosed Sicca Syndrome 2011

Restasis, Celexa, Flaxseed, D3, Calcium

irish

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Re: Punctal occlusion
« Reply #8 on: January 10, 2017, 08:50:13 PM »
I am thinking I heard that the plugs come in different sizes,. If you have a size that is too small that may be why they fall out. Just wondering. Maybe someone could fill me in on this. Irish

Sharon

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Re: Punctal occlusion
« Reply #9 on: January 11, 2017, 01:10:01 AM »
Thank you all for your input.
Now I'm thinking I may need to do this with a specialist who's nearby and readily available to assist if complications occur such as them falling out.
What exactly is the difference between "permanent" plugs and cauterization?
Sjogren's, positive ANA, RNP, RNP-A, APCA salivary gland swelling, dry mouth, eyelid swelling, nasal congestion, eye redness, photosensitivity, fatigue, joint pain
multiple sensitivities and allergic reactions 
Restasis, Paleo Diet, Vit. D 10,000 IU, Ubiquinol 100mg, Omega 3, Curcumin

Jenny

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Re: Punctal occlusion
« Reply #10 on: January 11, 2017, 04:42:40 AM »
I had it done a couple of years ago. It was a life changer for me. I went from being miserable to just using drops a couple of times a day on most days. I only had the lower ones done. For some reason I couldn't handle the plugs. They kept popping out.
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Liz D.

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Re: Punctal occlusion
« Reply #11 on: January 11, 2017, 06:34:18 AM »
Cauterization is when they actually burn the puncta shut.  Permanent plugs are ones that don't dissolve but they can be taken out if needed.  Some people have success with them staying in but mine kept falling out.  That's why I went with the cauterization.  You should try the plugs first.

Liz D.
53 year old female
Sjogrens Syndrome (diagnosed 2004, but problems started in 2000), Hypothryoidism, Asthma, Osteoporosis
Plaquenil 400 mg; Synthroid 100mcg; Evoxac, Asmanex, Flonase, Protonix 40 mg., Flonase, Prozac 40 mg. Naproxen 500 mg., Ativan as needed.  Vitamins, magnesium

Sharon

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Re: Punctal occlusion
« Reply #12 on: January 11, 2017, 01:01:46 PM »
Thanks gals,
Was the plug insertion or cauterization painful?
Sjogren's, positive ANA, RNP, RNP-A, APCA salivary gland swelling, dry mouth, eyelid swelling, nasal congestion, eye redness, photosensitivity, fatigue, joint pain
multiple sensitivities and allergic reactions 
Restasis, Paleo Diet, Vit. D 10,000 IU, Ubiquinol 100mg, Omega 3, Curcumin

Liz D.

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Re: Punctal occlusion
« Reply #13 on: January 11, 2017, 05:20:31 PM »
Plug insertion is not at all painful.  Cauterization is only painful because of the Novocain needle you get first.  But it is only a pinch and you don't feel the procedure.  Recovery was not bad either.

Liz D.
53 year old female
Sjogrens Syndrome (diagnosed 2004, but problems started in 2000), Hypothryoidism, Asthma, Osteoporosis
Plaquenil 400 mg; Synthroid 100mcg; Evoxac, Asmanex, Flonase, Protonix 40 mg., Flonase, Prozac 40 mg. Naproxen 500 mg., Ativan as needed.  Vitamins, magnesium

Deborah

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Re: Punctal occlusion
« Reply #14 on: January 12, 2017, 07:23:24 AM »
Plug insertion was not painful, my permanent plugs have been in for 5 years with absolutely no problems.
Female 65, Diagnosed Sicca Syndrome 2011

Restasis, Celexa, Flaxseed, D3, Calcium