Watering and Tearing Eyes (Epiphora)
Watering eyes, also called epiphora, is a very common problem. It happens when tears overflow from the eyes instead of draining properly. Many people, especially older adults, suffer from this condition. Sometimes it is temporary and linked to irritation or infection. In other cases, it is caused by a blockage in the tear drainage system or by changes in the eyelids. Watering can also affect children, often due to underdeveloped tear ducts. Although it may seem like a small problem, constant watering can be uncomfortable, embarrassing and may even blur vision. Treatment depends on the cause and can range from simple eye drops to surgery.
Causes in Children
- Blocked or incompletely opened tear duct
- Congenital glaucoma (watering with sensitivity to light and large eyes)
- Allergies
Causes in Adults
- Blocked tear duct
- Weakening of eyelid muscles that hold the eyelid against the eyeball
- Eyelid turning outward (ectropion) or inward (entropion)
- Ingrown eyelash
- Eye infections or eyelid inflammation
Treatment Options
General Treatment
- Eye drops for allergies and infections
- Removal of irritating eyelashes
- Minor eyelid surgery to correct inward or outward turning eyelids
- Botox injections into the tear gland if surgery is not possible and watering continues
Children
Most babies with blocked tear ducts improve naturally as they grow. Doctors recommend a massage over the tear sac area, taught by an eye specialist, along with prescribed eye drops. If the problem continues after nine months, a small procedure is done to open the duct.
Adults
In adults, a blocked tear duct often requires surgery. The surgery creates a new channel so that tears can bypass the blocked duct and drain properly. This procedure helps reduce constant watering and improves comfort.