How Do You Treat Lower Lid Laxity with Dry Eyes and Punctual Plugs?

My lower lid is not suctioning to the eyeball and my eye keeps tearing. What would you recommend?

Doctor Answers 3


The lower lids are responsible for pumping the tears that lubricate your eyes into your nose.  When the lower lids are lax (ectropion), then that can result in tearing.  This requires lower eyelid tightening (ectropion surgery).  There also other causes of tearinng.  Consult an oculoplastic surgeon.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 74 reviews

Eyelids and tearing

There are tear drains on the inside corner of the eyelids.  When you blink the tears are pumped down the drain towards your nose.  If your eyelids are not sitting tightly against the eye (as they should) then you will tear.

You would need an examination to know for sure, but most likely you would need outpatient surgery to correct the problem and stop the tearing.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 24 reviews

Only a personal consultation can answer this question.

The conditions you are describing are usually considered medically necessary and covered by health insurance. As such you need to work with in the policies of your health plan. If you can see Dr Cohen, he would be an excellent choice. Otherwise get an appropriate referral to an oculoplastic surgeon who does participate with your heal insurance.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.