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ORDER FORM Punctual Occlusion Please specify the item and quantity, fill out the information and fax back to NOVA at: 800.313.8696 or 416.631.8272. Insertion Immediately After Insertion 10 Minutes
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How to fill out punctal occlusion

How to fill out punctal occlusion:
01
First, gather all the necessary supplies, including punctal plugs or occluders, a punctal dilator, sterile saline solution, and sterile gloves.
02
Ensure that the patient's eyes are thoroughly cleaned and sterile by using sterile cotton swabs and an antiseptic solution.
03
Put on the sterile gloves to maintain a clean and hygienic environment during the procedure.
04
Use the punctal dilator to gently enlarge the punctal opening of the eye where the occlusion will be placed. This will help facilitate the insertion of the punctal plug or occluder.
05
Carefully insert the desired punctal plug or occluder into the dilated punctal opening, making sure it fits securely without causing any discomfort to the patient.
06
Gently press down on the punctal occlusion device to ensure it is properly inserted and stays in place. It should be flush with the punctal opening, preventing any drainage or tear flow.
07
Clean the surrounding area again with sterile saline solution to remove any excess debris or residual solution.
08
Provide post-care instructions to the patient, including proper eye hygiene and care for the punctal occlusion device.
09
Schedule a follow-up appointment to monitor the effectiveness of the punctal occlusion and make any necessary adjustments if needed.
Who needs punctal occlusion:
01
Patients with excessive tearing or watery eyes that are not relieved by other treatment options may benefit from punctal occlusion. This includes individuals with dry eye syndrome, chronic conjunctivitis, or keratoconjunctivitis sicca.
02
Patients with a punctal stenosis or punctal agenesis, meaning the tear duct openings are too narrow or absent, may require punctal occlusion to prevent excessive tear drainage.
03
Individuals who experience discomfort or complications from wearing contact lenses due to insufficient tear film may find relief with punctal occlusion, as it helps retain tears on the ocular surface.
04
Patients undergoing certain eye surgeries, such as cataract surgery or refractive procedures, may temporarily require punctal occlusion to promote tear film stability and prevent post-operative dry eye symptoms.
05
Individuals diagnosed with dry macular degeneration or other retinal conditions may benefit from punctal occlusion to help alleviate symptoms related to dryness and reduce the risk of further complications.
Overall, punctal occlusion can be a beneficial treatment option for patients with specific eye conditions or symptoms related to insufficient tear production or drainage. However, it is important to consult with an eye care professional to determine the most appropriate course of action based on individual needs and medical history.
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What is punctal occlusion?
Punctal occlusion is a procedure where the tear ducts are temporarily or permanently blocked to treat dry eyes or excess tearing.
Who is required to file punctal occlusion?
Ophthalmologists or optometrists who perform the punctal occlusion procedure are required to file the necessary documentation.
How to fill out punctal occlusion?
The punctal occlusion procedure must be documented with details such as the date of the procedure, type of occlusion, and any post-procedure instructions.
What is the purpose of punctal occlusion?
The purpose of punctal occlusion is to improve tear retention and alleviate symptoms of dry eyes or excessive tearing.
What information must be reported on punctal occlusion?
Information such as patient demographics, type of occlusion performed, and any complications must be reported on punctal occlusion documentation.
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