Syringing and Punctoplasty

What is a Blocked Tear Duct?

A blocked tear duct can cause excessive watering, irritation, or recurrent eye infections. Syringing and punctoplasty are procedures used to open or widen the tear drainage system.

What causes Tear Duct Blockages?

• Age-related narrowing of the tear ducts
• Chronic inflammation or infections
• Eyelid abnormalities affecting tear drainage

How is a Blocked Tear Duct Treated?

Treatment options include:

• Syringing – Flushing sterile fluid through the tear ducts to clear minor blockages.
• Punctoplasty – A minor surgical procedure to enlarge the tear duct opening (puncta), improving drainage.

What does the procedure involve?

• Syringing involves inserting a fine tube into the tear duct and flushing it with sterile saline to test and clear the passage.
• Punctoplasty involves making a small incision to widen the tear duct opening, allowing tears to drain more effectively. Both procedures are done under local anaesthetic.

Are there any risks or side effects?

• Mild discomfort, redness, or watering after the procedure
• Rare risk of infection (antibiotic drops may be prescribed)
• In some cases, further surgery may be needed if the blockage persists

What are the benefits?

• Diagnostic and improvement in watery eye (not guaranteed)

Will I need a follow-up appointment?

Your doctor will assess whether further treatment is required based on how well the tear ducts function after the procedure.