Treatments › Punctal plugs

Punctal plugs for dry eye

Tiny plugs inserted into the tear ducts to keep natural tears on the eye surface for longer.

Punctal plugs are small, often temporary devices inserted into the tear drainage ducts (puncta) at the inner corner of the eyelid. By partially or fully blocking drainage, they help keep your own natural tears on the eye surface for longer.

Insertion is quick and generally done in-chair with no anaesthetic needed for many patients, though some clinics offer numbing drops first. Plugs can be temporary (dissolvable) or longer-lasting silicone types, depending on what the clinician recommends.

They tend to suit people with reduced tear volume rather than purely evaporative dry eye, and are often trialled with a temporary plug before committing to a longer-lasting one. A clinician will monitor for any watering or irritation afterwards, as response varies between patients.

Best for

Reduced tear volume (aqueous-deficient dry eye)

Typical cost

Often $60–$150 per plug, sometimes quoted per procedure covering both eyes. Costs vary by plug type and clinic.

Costs are indicative: confirm with the clinic.

Frequently asked questions

Can punctal plugs fall out?

Yes, this can happen, particularly with temporary dissolvable plugs. Your clinician will check them at follow-up.

Will I feel the plugs once inserted?

Most people don't feel them day to day, though some notice mild watering or awareness in the first few days.

Can plugs be removed if they don't suit me?

Yes, plugs can generally be removed by a clinician if they cause irritation or excessive watering.

Common questions

Still working out whether this is the right step? These plain-English guides help.

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This page is general information, not medical advice. See a qualified clinician to find out what is right for you.