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The Daily Insight

What is punctum in the eye

Author

Mia Kelly

Published Mar 20, 2026

There are small openings inside the edges of the eyelids near the nose. Each upper and lower eyelid has one of these openings, called a punctum. These four openings, or puncta, act like little valves to take tears out of the eye. Each time we blink, some tear fluid is pumped out of the eye through the puncta.

What is a lacrimal punctum for?

Puncta are the tiny openings that drain tears from your eyes. About the size of a grain of rice, the plug stops fluid from draining from the eye. This helps keep the eye’s surface moist and comfortable, relieving itchy, burning and red eyes. Punctal plugs are also called punctum plugs, lacrimal plugs or occluders.

Can I remove punctal plugs myself?

Temporary punctal plugs dissolve naturally and do not require removal. Permanent punctal plugs do not need to be removed unless you are bothered by them or develop an infection (which is extremely rare). Removing punctal plugs is usually very easy. Your doctor may take out the plug using forceps.

How do you treat lacrimal punctum?

For adults with partially narrowed puncta, your doctor may dilate the puncta with a small probe and then flush (irrigate) the tear duct. This is a simple outpatient procedure that often provides at least temporary relief. Stenting or intubation. This procedure is usually done using general anesthesia.

Why does my punctum hurt?

As you age, the tiny openings that drain tears (puncta) may get narrower, causing blockage. Infection or inflammation. Chronic infection or inflammation of your eyes, tear drainage system or nose can cause your tear ducts to become blocked. Injury or trauma.

Where are the lacrimal punctum?

Ocular Adnexa and Lacrimal System A small aperture, the lacrimal punctum, is located in a slight tissue elevation, the lacrimal papilla, at the junction of the lacrimal and ciliary portions of the eyelid margin. Both upper and lower lids have a punctum.

Is lacrimal punctum normal?

Lacrimal punctumTA98A15.2.07.065TA26854FMA59365Anatomical terminology

What happens if a blocked tear duct goes untreated?

You should see your doctor if you tear constantly for several days or if your eye is repeatedly or continually infected. Left untreated, this can develop into a more severe infection called cellulitis which sometimes requires hospitalization for treatment.

How can I clear my tear duct naturally?

Place a clean index finger between the inner corner of the eye and the side of the nose. Gently slide the index finger downwards while massaging the side of the nose. You can repeat it around 10 times in the morning and 10 times at night. You may also use warm compresses to relieve itching and irritation.

How do you get rid of mucus strings in your eyes?
  1. antibiotics.
  2. steroid eye drops.
  3. eye drops to help lubricate the eye.
  4. warm or cold compresses to soothe and help reduce inflammation.
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Can you rub eyes with punctal plugs?

Can I rub my eyes or wear eye make up after punctal plug placment? Yes.

How much does it cost to get punctal plugs?

It can cost about $30-$300 or more per month for prescription eye lubricant medication. And it can cost $250-$650 for punctal occlusion, a procedure in which the doctor inserts tiny devices — called punctal plugs — into the tear ducts to prevent drainage of tears.

Are punctal plugs painful?

The entire process is typically over within a few minutes. Some people may experience slight discomfort during the insertion, but the plugs are not usually painful. Once the process is over, most people cannot feel them.

How do you unblock a tear duct in the eye?

Treating a blocked tear duct If you have a bacterial infection, your doctor will prescribe antibiotic eye drops or pills to treat the infection. For a narrowed punctum, your doctor can use a small probe to widen it. They’ll then flush or irrigate the tear duct with a saline solution. This is an outpatient procedure.

Can you still cry without eyes?

Crying is the best self relief method which is natural and is not associated with eyes, whether one has no eyes or has fake eyes he can still produce tears by tear glands and cry normally. Crying without an eye is just like raining without water.

Can blocked tear ducts cause eye bags?

Your tear ducts drain away tears and natural water in the eye. If they’re blocked, the fluid may collect around the eye. This can lead to under-eye swelling.

Why is my Puncta swollen?

If some or all of the puncta are blocked, tears will overflow. The puncta are tiny, so they can be blocked by small particles of dirt or even loose cells from the skin around the eye. Sometimes an infection near the puncta will make the area swollen, and the puncta will not work properly.

Will a blocked tear duct fix itself?

Not everyone needs to be treated for a blocked tear duct. For example, with most babies, the blockage will clear up as the child’s drainage system matures. Some infants are born with a piece of tissue called a membrane covering the duct, but it usually opens up on its own in the first year of life.

Will blocked tear duct go away?

Often a blocked tear duct clears up on its own, especially in babies under 6 months old. If your child has a blocked tear duct, your doctor may show you how to massage the eye several times a day at home for a few months. Massaging can help open the blockage.

What does itchy tear ducts mean?

A tear duct infection, or dacryocystitis, can cause itching in the corner of the eye. When a tear duct becomes blocked and tears cannot drain away, bacteria may collect in the area and cause an infection. Inflammation from a cold or sinus infection may cause a blocked tear duct.

How many ducts are present in lacrimal gland?

The orbital lobe of the gland, contains fine interlobular ducts that connect the orbital lobe and the palpebral lobe. They unite to form three to five main secretory ducts, joining five to seven ducts in the palpebral portion before the secreted fluid may enter on the surface of the eye.

What is the corner of your eye called?

Canthus (pl. canthi, palpebral commissures) is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure.

Is a blocked tear duct painful?

When the drainage system becomes blocked, this can cause pain, interfere with vision, and increase the risk of infection. The symptoms of a blocked tear duct can be bothersome, but effective treatments are available to remove the blockage.

How long does a blocked tear duct last?

Most cases of clogged tear ducts will resolve as your baby gets older — typically by 12 months of age, especially with at-home treatments. But, if your baby has clogged tear ducts past 1 year of age, your doctor may recommend a simple procedure to help unclog the tear ducts.

When should I be worried about a clogged tear duct?

Blocked tear ducts in babies generally resolve themselves. It is essential to see a doctor if an infant has very watery eyes, discharge, or appears to be tearing an unusual amount without any apparent cause.

How do you get eye strings?

  1. Irritation or infection from bacteria.
  2. Dacryocystitis (clogged tear ducts)
  3. Dry eyes or dry eye syndrome.
  4. Allergies.
  5. Blepharitis (eyelid infection)
  6. Body-focused Repetitive Disorder (a compulsive fixation)

Why is green mucus coming out of my eye?

Green discharge or mucus in one or both of your eyes is a sign of a bacterial infection. Having green discharge in your eyes requires medical treatment. Some types of infections can cause permanent eye damage if left untreated, so it’s important to visit your doctor if you have this symptom.

Can dry eyes cause mucus?

Problems with this layer can lead to film instability. If the water layer is too thin, the oil and mucus layers may touch each other, resulting in a stringy discharge, a hallmark sign of dry eyes. The inner layer, mucus, enables the tears to spread evenly over the eyes.

How quickly do punctal plugs work?

Punctal plugs come in temporary or permanent options. Temporary plugs are made of a collagen material that can dissolve in a matter of weeks or months, while more permanent plugs are made of a more durable material that can last for years at a time.

How often do punctal plugs fall out?

An observational punctal plug retention and complication study shows an 84.2% three-month retention of silicone plugs, decreasing to 55.8% at two years.

Can you cry with punctal plugs?

However, punctal plugs maintain natural tears on the ocular surface for extended periods and reduce the frequency of artificial tear use. The fourth is that all punctal and canalicular plugs have similar effects.