Watering of eye

 Watering of the Eye (also known as epiphora) is a condition where there is excessive tearing or overflow of tears onto the face. It may affect one or both eyes and can occur at any age.


👁️ Causes of Watering Eyes:

1. Overproduction of Tears:

  • Eye irritation (dust, smoke, wind)
  • Allergies
  • Eye infections (conjunctivitis)
  • Dry eyes (paradoxically causes more tears)
  • Foreign body in the eye


2. Poor Tear Drainage:

  • Blocked tear ducts (nasolacrimal duct obstruction)
  • Age-related changes (narrowing of tear ducts)
  • Eyelid problems (ectropion or entropion)
  • Injury or inflammation of the tear drainage system


3. Medical Conditions:

  • Bell’s palsy (facial nerve weakness)
  • Sinus infections
  • Tumors pressing on the tear duct area (rare)


🔍 Symptoms:

  • Constant tearing
  • Blurred vision due to watery eyes
  • Eye redness or irritation
  • Swelling near the inner corner of the eye (in case of infection or blockage)


🩺 Diagnosis:

  • Eye examination by ophthalmologist
  • Fluorescein dye test (to check tear drainage)
  • Dacryocystography or CT scan (in chronic cases)


💊 Treatment Options:


1. For Overproduction:

  • Treat underlying irritation or allergies
  • Lubricating eye drops (for dry eyes)
  • Avoid triggers (like wind, smoke)


2. For Drainage Issues:

  • Warm compresses and massage
  • Antibiotics (if infection is present)
  • Probing (for infants)

Surgical procedures:

  • Dacryocystorhinostomy (DCR) – creates new tear drainage pathway
  • Punctal dilation or stenting


👶 Special Note for Babies:

Many newborns have tear duct blockages that resolve by 1 year of age. Regular massage often helps.


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