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Watery eyes

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Alternative Names:

Epiphora; Tearing - increased

Home Care:

Consider the cause of the tearing. If the eyes feel dry and burn and then begin to tear, consider artificial tears before tearing occurs. This prevents the reflex tearing.

If the eyes are itchy and uncomfortable consider allergy as a cause. Over-the-counter antihistamines can be useful. A mucous discharge from the eyes or red eyes may indicate a blocked tear duct or eyelid problem.

Call your health care provider if:

Tearing is not an emergency, but can be very annoying and usually can be treated.

• prolonged unexplained tearing
• associated with pain in the eye
• associated with tenderness around the nose or sinuses
• red eyes, excess discharge

What to expect at your health care provider's office:

The doctor will take a medical history and examine your eyes.

Medical history questions documenting increased tearing may include:

• time pattern
  • When did it begin?
  • Is it the first occurrence?
  • Does it occur all the time or off and on?
  • Is there a pattern to the occurrences?
• quality
  • Is the vision affected?
  • Are corrective lenses worn or needed?
  • Is the increased tearing related to emotional responses?
  • Is the tearing accompanied by pain? Stinging? Itching?
  • Is the fluid clear?
  • Are the eyes red or swollen?
  • Is drainage or crusting present on awakening?
• location
  • Does increased tearing affect both eyes?
  • If so, are they affected equally?
• aggravating factors
  • What seems to cause or increase the tearing?
  • What medications are being taken?
  • Are there allergies ?
  • Is there frequent exposure to wind, dust, chemicals, sun, or light?
  • Have there been recent injuries to the eye(s)?
• relieving factors
  • What seems to help reduce the tearing?
  • Have eye solutions been tried?
• other
  • What other symptoms are also present?
  • Is there any loss of vision ?
  • Have there been changes in vision ?
  • Is there a headache ?
  • Is there nasal congestion or a runny nose ?
  • Are there joint aches or muscle aches ?
  • Has anyone else had similar symptoms recently?

The physical examination may include a detailed eye examination.

Diagnostic tests that may be performed are:

• culture and sensitivity testing of tear specimen
• Schirmer's test

Intervention:

Once the symptoms are explained, the cause is usually clear. Treatment can include artificial tears, topical antihistamines antibiotics or even surgery.

If a blockage of the tear system is possible, your doctor may use a probe to test the tear drainage system. This is painless. If a blockage is present, surgery is usually necessary to correct the problem. Improper eyelid position can also be fixed with minor surgery.

• Review Date: 11/14/2005
• Reviewed By: Edward B. Feinberg, MD, MPH, Professor and Chair, Department of Ophthalmology, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.

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