Punctal plugs in Greater Montreal for dry eye

At CARE Clinic, optometrists assess your eyelids, tear ducts, and tear film. They will explain whether silicone punctal plugs may be an appropriate option for you.
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How do punctal plugs help keep your natural tears?

A small silicone plug is placed by the optometrist in the tear duct to slow down natural tear drainage.

01

The device

A small soft plug, about the size of a grain of sand, placed in the tear duct to slow down the drainage of tears. Biocompatible and well tolerated material.

02

Safety

The optometrist can remove the plug or replace it. A tested choice: temporary plug first, then adjustment according to your comfort.

03

Effet attendu

By slowing drainage, the plugs keep your natural tears on the surface of the eye. More effective than adding drops that would also drain away.

Are you a candidate for punctal plugs for dry eye?

If you identify with any of the following situations and standard treatments are no longer enough, you can discuss punctal plugs with your optometrist.
Sjögren's syndrome
Post-LASIK discomfort

For which types of dry eye are punctal plugs indicated?

There are several situations where the eye lacks sufficient tears or drains tears too quickly. Your optometrist will determine which applies to your case.

Dry eye where the eye produces fewer tears than normal, despite drops and home hygiene.

Sjögren's syndrome or another autoimmune disease that reduces tear production.

Persistent dry eye after LASIK that does not improve with artificial tears alone.

Contact lens intolerance due to lack of tears by the end of the day.

Persistent dryness despite warm compresses, eyelid cleaning, and lubricating drops.

When punctal plugs are not an option

Certain situations can make punctal plugs unsuitable, sometimes only temporarily. Your optometrist will always check for these before considering placement.

Active infection of the tear drainage duct or the lacrimal sac near the nose.

Severe uncontrolled blepharitis or active eyelid infection.

Lacrimal ducts already obstructed or very narrowed, with abnormal tear flow.

Tears already running excessively down the cheek (excessive tearing that could worsen).

Known allergy to silicone or any of the materials in the plugs.

How punctal plugs are placed at the CARE Clinic

Three simple steps for a quick, painless procedure with no downtime.

01

Treatment Review and Discussion

The optometrist examines your eyelids, tear ducts, and tear film. They check that the placement is suitable for your case, then apply an anesthetic drop.

02

Gentle plug insertion

The optometrist inserts the silicone plug directly into the tear duct, using a slit lamp. A slight pressure for a few seconds per eye.

03

Check-up and Resumption of Activities

The optometrist checks the position of the plug with a few colored drops. You can leave immediately. If discomfort persists, the plug can be removed or adjusted.

THE CARE EXPERIENCE
Beyond treatments, we offer care rooted in listening and empathy. Each patient is unique, and our greatest satisfaction is restoring the comfort you thought you had lost.
An approach appreciated by our patients. Rated 5.0/5 on Google.

Who performs your punctal plug placement at CARE Clinic?

Dre. Francesca Olinga
Optometrist

An optometrist and founder of the CARE Clinic, Dr. Francesca Olinga understands dry eye because she has experienced it. Experienced in the management of complex cases (neuropathic pain, demodex, chalazions), she uses innovation and attentive listening to guide you toward improved eye comfort.

Dr Daniel Nguyen — Optométriste spécialisé en sécheresse oculaire à la Clinique CARE
Dr Daniel Nguyen
Optometrist

An optometrist and member of theOOQ, Dr. Daniel Nguyen splits his practice between eye exams in an optometry clinic and advanced management of dry eye conditions at the CARE Clinic. This dual practice provides him with a comprehensive view of his patients' visual health, from routine screenings to cutting-edge therapeutic protocols. dry eye Biography of Karine Charbonneau

Dr. Trang Nguyen
Optometrist

Optometrist with over 30 years of experience and speaker for eye care professionals. Dr. Nguyen has experience in improving visual quality affected by dry eye. She supports her patients in reconciling their aesthetic goals (makeup, cosmetics) and optimal eye comfort.

FAQS
How long does insertion take?

The insertion itself takes about 5 minutes for both eyes. The full visit, including the assessment and post-insertion check, is about 30 minutes in the clinic.

Is it painful?

No. The optometrist uses a numbing eye drop before the procedure. Most people feel only light pressure for a few seconds. No injectable anesthesia is needed.

How long does the effect last?

Silicone plugs can stay in place for several months to several years. The duration depends on your individual anatomy and how your tear ducts respond. The optometrist checks the position of the plugs during follow-up exams.

Is it reversible?

Yes. Silicone plugs can be removed by the optometrist if needed — for example, if they cause discomfort or your needs change.

Can I wear my contact lenses right after?

Yes, you can usually resume wearing your contact lenses the same day. The optometrist will check the position of the plugs before you leave and make adjustments based on your situation.