Vision & Health

Watering of Eyes or Lacrimation

Water of eyes is tears, it has important role to make eyes moist and sometime remove foreign bodies. But the condition where overflow of tears from conjunctival sac of the eye is known as watering. It is most commonly occurs when any part of the eyeball is infected or inflamed or make cause by blockage of naso lacrimal duct which is the main water drainage path of the eye.

Watering often get settle by its own way, but on the other way treatment will needed when its effects your daily life activity.

Clinical Causes: –

It may happens in case of tumours or cysts in lacrimal glad. When eyelids are affected by any infection like stye, internal chalazion, entropion, distichiasis, conjunctival infections, allergies, corneal involvements like abrasion, ulcer, scleral inflammation, Uveitis, acute glaucoma, endophthalmitis.

  1. Psychological lacrimation where emotional factors are presents.

Functional Problems in lacrimal apparatus: –

For the weakness of orbicularis muscle cause the lacrimal pump failure, blockage of punctum (the dot opening of eyelid in nazal sides), blockage of canaliculus, lacrimal sac and naso lacrimal duct. It may be congenital cause or due to any infection, foreign body, traumaof lacrimal apparatus.

Easily we can evaluate: – The thoroughly examination of eyeball structure like eyelid, conjunctiva, cornea, sclera, Uvea, anterior chamber. Is there any structural involvement may causes watering.

  1. We can press over the sac area by which any discharge is coming out or not, if dacryocystitis is present there.
  2. Syringing Test:- after putting anaesthetics drops we can perform it very easily. Generally, by lower punctum normal saline water can push to lacrimal duct by cannula with syringe. If the water is coming to nose it means this duct is blockage free, if nit then there may be any blockage is present in canaliculus or in duct.

Treatment: –The Common treatment is to do a course of antibiotics drops. If it is not settle by drops then may go for surgery which is safe and quick procedure.

Basic surgical treatment are Dacryocystectomy (DCT) in this total lacrimal sac will remove.

Dacryocystorhinostomy (DCR) in this the surgeon will make another opening in naso lacrimal duct.