In simple words: This procedure fixes a problem where the tiny opening in the corner of your eye that drains tears is turned outwards.A special tool is used to gently burn the area, causing it to shrink and correct its position, reducing excessive tearing and dryness.

Punctal cauterization, also known as punctal cautery, involves using a cautery device to correct an everted (outwardly turned) punctum.This procedure is performed to treat excessive tearing, which can lead to dry eye and other complications. Local anesthesia is administered, followed by the application of cautery just below the punctum. This causes the conjunctiva to shrink, correcting the punctum's position. A probe is then inserted into the canaliculus to ensure the lacrimal system's integrity. After a brief observation period, the probe is removed.

Example 1: A patient presents with excessive tearing and dry eye symptoms due to a slightly everted punctum. Punctal cauterization is performed to correct the punctum's position and alleviate symptoms., A patient with Sjögren's syndrome experiences severe dry eye. Punctal cauterization is used to create a permanent punctal occlusion, reducing tear drainage and improving ocular surface moisture., Following unsuccessful attempts at punctal plug placement, a patient continues to experience dry eye.Punctal cauterization provides a more permanent solution to improve tear retention.

* Pre-operative assessment including patient history, symptoms, and examination findings.* Documentation of the procedure performed, including type of cautery used, and any complications encountered.* Post-operative assessment including evaluation of the punctum's position and any residual symptoms.* Any additional diagnostic testing results or relevant clinical findings.

** Over-treatment should be avoided to prevent complications.Careful assessment and selection of patients are essential for successful outcomes.The procedure may not be suitable for all patients with dry eye.