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Select The Right Punctal Plug By Size & Occlusion Type

SELECT THE RIGHT PUNCTAL PLUG

Find the right occlusion type & size in three steps

Lacrivera silicone and synthetic absorbable plugs for dry eye management — temporary through permanent occlusion.

1
Choose occlusion type Temporary, partial, or permanent.
2
Gauge the punctum Measure, then select the matching size.
3
Order by part number Click any size or search the part number.

Compare by Duration

DURATION PRODUCT MATERIAL
7–10 days VeraC7 Collagen Inserts Collagen
60–180 days Vera90 Synthetic Extended Inserts PCL copolymer
~180 days Vera180 Absorbable Lacrimal Plugs PDO
Long-term, partial flow VeraPlug Flow Silicone
Long-term, full occlusion VeraPlug · FlexFit Silicone

Silicone Punctal Occlusion

Long-term, fully occlusive · Removable

VeraPlug Sterile Preloaded

Preloaded on a sterile disposable inserter. 2 per box.

PUNCTAL OPENING PART NUMBER
Small (0.4mm to 0.6mm) VSP-1001
Medium (0.6mm to 0.7mm) VSP-1002
Large (0.7mm to 0.8mm) VSP-1003
Extra Large (0.8mm to 1.0mm) VSP-1004

VeraPlug Nonsterile Bulk

Bulk value option for high-volume practices. 20 per pack.

PUNCTAL OPENING PART NUMBER
Small (0.4mm to 0.6mm) BNS-1001
Medium (0.6mm to 0.7mm) BNS-1002
Large (0.7mm to 0.8mm) BNS-1003
Extra Large (0.8mm to 1.0mm) BNS-1004

FlexFit Sterile Preloaded

One plug fits a wider range of punctal openings. 1 pair per box.

PUNCTAL OPENING PART NUMBER
X Small - 0.2mm to 0.3mm VFF-5000
Small - 0.3mm to 0.5mm VFF-5001
Medium - 0.6mm to 0.8mm VFF-5002
Large - 0.9mm to 1.0mm VFF-5003
Silicone Partial Occlusion

Retains partial tear drainage · Reduces epiphora risk

VeraPlug Flow Sterile Preloaded

Partially occluded design for patients at risk of excessive tearing.

PUNCTAL OPENING PART NUMBER
Small (0.4mm to 0.6mm) VFL-1001
Medium (0.6mm to 0.7mm) VFL-1002
Large (0.7mm to 0.8mm) VFL-1003
Extra Large (0.8mm to 1.0mm) VFL-1004

Temporary Occlusion

Synthetic absorbable inserts · No removal required

VeraC7 Collagen Inserts

Short-term trial occlusion, 7 to 10 days. 60 inserts per box.

PUNCTAL OPENING PART NUMBER
0.2mm CSP-1002
0.3mm CSP-1003
0.4mm CSP-1004

Vera90 Synthetic Extended Inserts

Extended temporary occlusion, 60 to 180 days. 20 per box.

PUNCTAL OPENING PART NUMBER
0.2mm ESP1002
0.3mm ESP-1003
0.4mm ESP-1004
0.5mm ESP-1005

Vera180 Synthetic Absorbable Plugs

Approximately 180 days of occlusion. Available in box of 2 or box of 20.

PUNCTAL OPENING PACK PART NUMBER
0.2mm Box of 20 ESK-1002
0.3mm Box of 20 ESK-1003
0.3mm Box of 2 ESK-1003S
0.4mm Box of 2 ESK-1004S
0.5mm Box of 20 ESK-1005
0.5mm Box of 2 ESK-1005S

Vera180 — Single Pair

Box of 2 plugs, for single-patient use.

PUNCTAL OPENING PART NUMBER
0.2mm ESK1002S
0.3mm ESK1003S
0.4mm ESK1004S
0.5mm ESK1005S
INSTRUMENTS

Sizing & Insertion

Punctal Sizing Gauge

Dual-sided tips for measuring the punctal opening before plug selection.

PUNCTAL OPENING PART NUMBER
0.5mm / 0.6mm S8-1200
0.7mm/0.8mm S8-1205
Sizing guidance
  • Silicone plugs are sized by punctal opening range — Small, Medium, Large, Extra Large.
  • Absorbable inserts are sized by plug diameter — 0.2 mm through 0.5 mm.
  • For absorbable inserts, the measured punctal opening less 0.2 mm approximates canaliculus diameter.
  • Begin with the smallest gauge and step up until it fits snugly with slight resistance.
NEED HELP SELECTING?
Tell us your patient profile and we will recommend the right occlusion type and size range.
Clinician Use Only: U.S. federal law restricts these devices to sale by or on the order of a physician. All products sold on AccuSpire.com should be used by a qualified clinician and should be purchased by or on the order of a qualified clinician.

Discounted Prices

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