Question: I suffer from excess tears that make it difficult to see or even wear glasses. What is the treatment for this condition?
Dr. Hibberd's answer:
Watery eyes occur when your body makes more tears than you lose through evaporation or drainage.
Watery eyes or excess tearing may happen naturally in response to emotions or to cold, windy weather. Otherwise, persistent watery eyes can have many causes, including allergies and infections.
A partially blocked naso-lacrimal duct may cause watery eyes, but usually you would recognize this complication of infection and its association with nasal congestion or infection .
Complications from dry eyes or corneal irritation from foreign body, abrasion or infection can trigger the release of a large amount of tears in an attempt to lubricate your eyes. The excess tears may overwhelm the drainage system, causing watery eyes.
The type of treatment will depend on what is causing your eye to water.
If you have a mild infection, your doctor may prescribe antibiotic eye drops or ointment. More severe infections may need drainage and antibiotic management. Nasolacrimal obstruction will need specialty management by your ophthalmologist and ENT specialist, and may involves a simple ductal dilation under local anaesthetic.
If your nasolacrimal tear ducts are blocked and other treatments don't work, you may be offered surgery to unblock the ducts and widen the tear duct opening your nose. You may need to have special X-rays of the tear ducts before your surgery to help establish exactly where the blockage is and whether the surgery is likely to work.
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