- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: May 1, 2025
Expert Punctoplasty for Watery Eyes at Blue Fin Vision® Eye Clinic
If you suffer from watery eyes or struggle with persistent tearing, you may have come across the term “3 snip procedure” or “three-snip punctoplasty.” At Blue Fin Vision® Eye Clinic, with locations in London, Chelmsford, and Hatfield, our oculoplastic specialists offer this highly effective, minimally invasive procedure to restore comfortable, healthy tear drainage.
What is a 3 Snip Eye Procedure?
The 3 snip procedure – also known as three-snip punctoplasty – is a minor surgical technique designed to treat punctal stenosis, a condition where the tiny drainage opening (punctum) at the inner corner of the eyelid becomes narrowed or blocked. This narrowing prevents tears from draining properly, leading to constant watering, irritation, and sometimes infection.
It involves making three precise, tiny cuts in the punctum to widen the opening, allowing tears to flow freely from the eye’s surface into the tear duct system. The procedure is quick, performed under local anaesthetic, and does not require stitches.
Why and When is the 3 Snip Procedure Needed?
Indications for Three-Snip Punctoplasty
The 3 snip procedure for punctal stenosis is recommended when:
- Watery eyes (epiphora) are caused by a narrowed or blocked punctum.
- Conservative treatments (such as lubricating drops or dilation) have failed to relieve symptoms.
- Recurrent eye infections or chronic irritation are linked to poor tear drainage.
- Visible narrowing of the punctum is confirmed during examination.
Common Causes of Punctal Stenosis
- Age-related changes: The punctum can naturally narrow with age.
- Chronic inflammation: Conditions like blepharitis or conjunctivitis can scar or shrink the punctal opening.
- Previous eyelid surgery or trauma: Injury or surgical changes may affect the punctum.
- Medications: Some topical eye drops can cause local tissue changes.
How is the 3 Snip Procedure Performed?
At Blue Fin Vision®, your comfort and safety are our priorities. Here’s what you can expect:
- Local Anaesthetic: Numbing drops and a small injection ensure a painless experience.
- Three Precise Cuts: Using fine microsurgical scissors, your surgeon makes three small incisions in the inner wall of the punctum, creating a triangular wedge.
- Removal of Tissue: The wedge is gently removed, permanently widening the opening.
- No Stitches Required: The area is left to heal naturally, with minimal discomfort or downtime.
The procedure typically takes less than 15 minutes and is performed as an outpatient treatment.
Benefits of the 3 Snip Procedure
- Restores natural tear drainage, reducing watery eyes and improving comfort.
- Quick recovery: Most patients return to normal activities the same day.
- Minimally invasive: No stitches or visible scars.
- Long-lasting results: Effective for most cases of punctal stenosis.
- Low risk of complications: Performed by experienced oculoplastic surgeons.
What to Expect After Three-Snip Punctoplasty
- Mild soreness or irritation is common for a day or two.
- Temporary tearing may persist as the area heals.
- Antibiotic drops may be prescribed to prevent infection.
- Follow-up appointment ensures proper healing and optimal results.
Most patients notice a significant improvement in tearing within days of the procedure.
Why Choose Blue Fin Vision® Eye Clinic for Your 3 Snip Procedure?
- Specialist oculoplastic surgeons: Our team are experts in eyelid and tear duct surgery, ensuring precise, safe, and effective care.
- Personalised approach: Each patient receives a tailored treatment plan based on their specific needs and anatomy.
- State-of-the-art clinics: Access world-class facilities in Harley Street (London), Weymouth Street (London), Chelmsford, and Hatfield.
- Comprehensive aftercare: From your first consultation to your final follow-up, we support you every step of the way.
Is the 3 Snip Procedure Right for You?
If you experience persistent watery eyes, frequent infections, or have been told you have a narrowed punctum, the 3 snip procedure for punctal stenosis could offer lasting relief. Early assessment and expert intervention are key to restoring comfort and protecting your eye health.
Take the Next Step Towards Comfortable, Clear Eyes
Don’t let watery eyes affect your confidence or quality of life. Book a consultation at Blue Fin Vision® Eye Clinic in London, Chelmsford, or Hatfield to discuss whether the three-snip punctoplasty is right for you. Our team of oculoplastic specialists are ready to help you achieve lasting comfort and clear vision.
Trust your vision to Blue Fin Vision® – where advanced oculoplastic surgery meets compassionate, personalised care.
