Epiphora (medicine)
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Epiphora | |
---|---|
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Synonyms | Watery eyes, tearing |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Excessive tear production, watery eyes |
Complications | Infection, vision impairment |
Onset | Any age |
Duration | Variable |
Types | N/A |
Causes | Allergies, infection, blockage of the nasolacrimal duct, irritation |
Risks | Age, environmental factors, eye surgery |
Diagnosis | Clinical examination, imaging |
Differential diagnosis | Conjunctivitis, dry eye syndrome, blepharitis |
Prevention | N/A |
Treatment | Artificial tears, surgery, antihistamines |
Medication | Antibiotics, anti-inflammatory drugs |
Prognosis | N/A |
Frequency | Common |
Deaths | N/A |
Epiphora is a medical condition characterized by excessive tear production, leading to tears overflowing onto the face. This condition can be caused by a variety of factors, including ocular irritation, inflammation, or obstruction of the lacrimal drainage system.
Causes[edit | edit source]
Epiphora can result from several underlying issues:
- Obstruction of the lacrimal drainage system: This can occur due to congenital abnormalities, infections, or trauma. Common obstructions include dacryocystitis and nasolacrimal duct obstruction.
- Increased tear production: Conditions such as allergic conjunctivitis, dry eye syndrome, and blepharitis can stimulate excessive tear production.
- Eyelid malposition: Abnormalities such as entropion or ectropion can disrupt normal tear drainage.
Symptoms[edit | edit source]
The primary symptom of epiphora is the overflow of tears onto the face. Other associated symptoms may include:
- Redness of the eyes
- Irritation or discomfort
- Blurred vision
- Swelling around the eyes
Diagnosis[edit | edit source]
Diagnosis of epiphora involves a thorough ophthalmic examination to identify the underlying cause. Tests may include:
- Fluorescein dye disappearance test: To assess tear drainage.
- Lacrimal irrigation and probing: To detect blockages in the lacrimal system.
- Imaging studies: Such as dacryocystography or CT scan to visualize the lacrimal apparatus.
Treatment[edit | edit source]
Treatment of epiphora depends on the underlying cause:
- Medical management: For conditions like allergic conjunctivitis or blepharitis, medications such as antihistamines or antibiotics may be prescribed.
- Surgical intervention: Procedures such as dacryocystorhinostomy (DCR) or punctal plugs may be necessary to address obstructions or anatomical abnormalities.
Prognosis[edit | edit source]
The prognosis for epiphora varies depending on the cause and the effectiveness of the treatment. Many cases can be successfully managed with appropriate medical or surgical interventions.
See also[edit | edit source]
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Contributors: Prab R. Tumpati, MD