Excessive Tearing – Causes, Diagnosis and Treatment

Excessive Tearing – Causes, Diagnosis, and Treatment at Emirates Hospital Group

Excessive tearing, or epiphora, can arise from various factors, including blocked tear ducts, allergies, and dry eyes. Conditions such as conjunctivitis, eyelid abnormalities, and corneal issues can also contribute to an overflow of tears. Accurate diagnosis by an eye care professional is vital for determining the underlying cause and implementing appropriate treatments, ranging from managing allergies to addressing structural issues for effective relief.

Causes of Excessive Tearing (Epiphora):

1. Blocked Tear Ducts: Obstruction in the tear ducts, often caused by infections, inflammation, or congenital factors, can prevent tears from draining properly, leading to excessive tearing.

2. Dry Eyes: Paradoxically, dry eyes can trigger excessive tearing as the eyes overcompensate for insufficient lubrication by producing more tears. This can result from environmental factors, aging, or systemic conditions.

3. Allergies: Allergic reactions affecting the eyes, such as allergic conjunctivitis, can prompt an increased production of tears as the body attempts to flush out irritants.

4. Conjunctivitis (Pink Eye): Inflammation of the conjunctiva, commonly caused by viral or bacterial infections, can stimulate excessive tearing as a protective response.

5. Eyelid Problems: Mispositioned eyelids, such as ectropion or entropion, can disrupt the normal distribution of tears, causing overflow and excessive tearing.

6. Corneal Abrasions or Foreign Bodies: Irritation or injury to the cornea, whether from scratches or the presence of foreign objects, may trigger excessive tearing as a protective mechanism.

7. Refractive Errors: Uncorrected vision problems, like astigmatism or an incorrect prescription, can lead to eye strain, prompting excessive tearing.

Identifying the specific cause of excessive tearing is crucial for effective treatment. Treatment options range from addressing the underlying condition to artificial tears or surgical interventions, depending on the diagnosis. Consulting with an eye care professional ensures a comprehensive evaluation and tailored management plan.