• Dr. Rajesh Shah's advice on Epiphora (watering of eyes)

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Epiphora

Dr. Rajesh Shah

Epiphora is a condition where there is excessive watering of eyes, clinically the condition constitutes insufficient tears drainage from the tear drainage system (i.e. Nasolacrimal system).

Causes of epiphora:

Causes of Epiphora are as follows

  • Eye irritation and inflammation
  • Obstruction in the tear outflow tract
  • Aging may be one of the reasons for the watering of the eyes.
  • Common Cold.
  • In neonates and infants, failure of the nasolacrimal duct to open.
  • Poor reconstruction of the nasolacrimal duct system after trauma to the area.
  • Facial fractures (soft tissue trauma)
  • Lids disorder (ectropion - lids turn inwards and ectropion lids)

Diagnosis

  • Epiphora is diagnosed by clinical observation, history and presentation of the lids.
  • Fluorescein dye (to detect the obstruction).

Management

Usually the management of epiphora is done by surgery:

If the Epiphora is due to lid disorder ie, (ectropion - lids turned inwards or ectropion - lids turned outwards), then lid repair is indicated, punctual irrigation is also required. In infants with nasolacrimal defects, a nasolacrimal duct probe is used and a tube replacement, either temporary (Crawford) or permanent (Jones), is carried out. A surgical procedure called dacryocystorhinostomy is done to join the lacrimal sac to the nasal mucosa in order to restore lacrimal drainage.

Homeopathic treatment for epiphora:

Temporary symptomatic relief may be achieved for a short time using homeopathy. Long-term benefit may not be achieved. Homeopathy is not recommended for epiphora.

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