Question about punctum

[LasikLady]

I read a post where someone said once you have plugs in if they are ever removed your punctum will be larger and so more tears will drain resulting in drier eyes.
I am really hoping that someday I will be like the patients Dr. Latkany mentioned in his reply post to me and after 4 or 5 years post lasik my symptoms will resolve. So what happens if I ever get these plugs out? Will the holes then be larger or do they shrink back to normal size?
Does anyone have any info on this?

Thanks!

[indrep]

Hopefully the punctal ring, which is a sphincter muscle, will return to normal. However it is very fragile and if the punctal plug was too large when inserted then there is a chance the muscle was ruptured and will not return to normal. Also with normal aging the ring can lose elasticity.

[Jade9923]

I would try really hard not to worry too much about this. I have been wearing punctal plugs for over 16 years and nothing like that has happened. If for some reason it did, they would just put in a larger plug. There is always cautery if all else fails. This is just something that you don't hear about. I think it would be safe to put this fear to bed and not worry too much about it.

[LasikLady]

Thanks for the replys
You're right Jade, there is no point in worrying about this. Plugs are a necessity for me and have made a ton of difference in my comfort level and I would not be where I am now without them.

So I will leave the future to the future and mark this off my list of worries!