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punctal plugs and excess tearing

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  • punctal plugs and excess tearing

    I had temporary lower punctal plugs fitted (the ones that last a week) and have been experiencing tears running down my cheeks whenever I yawn or do anything that causes reflex tears. Now I am more than happy to live with this if the plugs turn out to help but I'm wondering a few things:

    Do the permanent plugs cause more excess tearing than the temporary ones? I read somewhere that they do, but don't know if this is true.
    Does this excess tearing mean I don't have an aqueous deficiency?
    How often do the permanent plugs end up getting lost in the tear duct so they can't be removed? I am worried about this and was considering going with the 3 month temporary plugs because of this potential problem. I also wonder if given how often the "permanent" plugs fall out, 3 month temporary plugs might actually tend to last longer.

    Thanks for your input.
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