Overview
Teary eye (epiphora) is a condition where there is an overflow of tears onto the face, often without a clear explanation. It can be caused by the overproduction of tears or, more commonly, by a blockage in the tear drainage system (nasolacrimal duct).
Common symptoms
- Excessive watering of one or both eyes
- Tears running down the cheek
- Blurred vision due to excess film of tears
- Sticky eyes or discharge if the tear sac becomes infected
- Swelling or redness in the corner of the eye near the nose
When to see an ENT
- Persistent tearing that interferes with vision or daily activities
- Recurrent eye or tear sac infections (dacryocystitis)
- Painful swelling near the inner corner of the eye
- Tearing associated with nasal blockage or sinus issues
What we do
- Evaluation of the eye and tear drainage points (puncta)
- Nasal endoscopy to check for any nasal issues (like a deviated septum or polyps) blocking the end of the tear duct
- Syringing of the tear duct (in coordination with ophthalmology if needed) to locate the blockage
Treatment options
- Conservative management: Warm compresses and massage
- Antibiotic drops if infection is present
- Endoscopic Dacryocystorhinostomy (DCR): A minimally invasive surgical procedure performed through the nose to create a new drainage path for tears, bypassing the blockage. No external scars are made.