What is Epiphora? Understanding Watery Eyes

At Blue Fin Vision, our premier eye clinic on Harley Street in London, we often encounter patients concerned about excessive tearing or watery eyes. This condition, known medically as epiphora, can be both uncomfortable and frustrating. In this comprehensive guide, we’ll explore what epiphora is, its causes, symptoms, and the various treatment options available at our London clinic.

Understanding Epiphora

Epiphora, commonly referred to as watery eyes, is a condition characterised by an overflow of tears onto the face. While tearing is a natural and essential function of the eye, excessive tearing can be bothersome and may indicate an underlying issue.

The Tear System: A Delicate Balance

To understand epiphora, it’s crucial to know how the tear system works:

  1. Tear Production: Tears are produced by the lacrimal glands located above each eye.
  2. Distribution: Tears spread across the eye’s surface with each blink.
  3. Drainage: Excess tears normally drain through small openings (puncta) in the inner corners of the eyelids.
  4. Nasolacrimal Duct: Tears then travel through the nasolacrimal duct into the nose.

Epiphora occurs when this system is disrupted, either due to overproduction of tears or inadequate drainage.

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Symptoms of Epiphora

The primary symptom of epiphora is, unsurprisingly, watery eyes. However, patients may also experience:

  • Tears running down the cheeks
  • Blurred vision
  • Redness in and around the eyes
  • Irritation or a burning sensation
  • Swelling of the eyelids
  • Increased frequency of wiping eyes

Causes of Epiphora

At our London eye clinic, we see various causes of epiphora. These can generally be categorised into two main groups:

  1. Excessive Tear Production

Factors that can lead to increased tear production include:

  • Eye Irritation: From allergens, chemicals, or foreign bodies
  • Infections: Such as conjunctivitis (pink eye)
  • Corneal Abrasions: Small scratches on the eye’s surface
  • Inward-turning Eyelashes (trichiasis)
  • Dry Eye Syndrome: Paradoxically, this can cause watery eyes as a reflex
  1. Inadequate Tear Drainage

Issues with tear drainage can be caused by:

  • Blocked Tear Ducts: Due to infection, injury, or age-related changes
  • Eyelid Problems: Such as ectropion (outward-turning eyelid) or entropion (inward-turning eyelid)
  • Facial Nerve Palsy: Affecting the muscles responsible for blinking
  • Previous Eye Surgery: Which may have altered the drainage system

Diagnosing Epiphora

At Blue Fin Vision on Harley Street, our experienced ophthalmologists use various methods to diagnose the cause of epiphora:

  1. Comprehensive Eye Examination: To check overall eye health and identify any obvious issues
  2. Tear Film Assessment: To evaluate the quality and quantity of tears
  3. Dye Disappearance Test: To check how quickly tears drain from the eye
  4. Probing and Irrigation: To check for blockages in the tear drainage system
  5. Imaging Studies: Such as CT or MRI scans, if structural abnormalities are suspected

Treatment Options for Epiphora

The treatment for epiphora depends on its underlying cause. At our London eye clinic, we offer a range of solutions:

Conservative Treatments

For mild cases or those caused by environmental factors:

  • Artificial Tears: To flush out irritants and improve tear quality
  • Warm Compresses: To help open blocked glands
  • Gentle Eyelid Massage: To promote better tear drainage
  • Antihistamine Eye Drops: For allergy-related epiphora

Medical Treatments

For cases caused by infections or inflammation:

  • Antibiotic Eye Drops or Ointments: To treat bacterial infections
  • Steroid Eye Drops: To reduce inflammation
  • Allergy Medications: For chronic allergy-related tearing

Surgical Interventions

For structural issues or persistent cases:

  • Punctal Dilation: Widening the tear duct openings
  • Dacryocystorhinostomy (DCR): Creating a new passage for tear drainage
  • Eyelid Surgery: Correcting problems like ectropion or entropion
  • Stent Placement: To keep tear ducts open

Living with Epiphora: Tips and Advice

While seeking professional treatment is crucial, there are steps you can take to manage epiphora:

  • Practice Good Eye Hygiene: Regularly clean your eyelids and lashes
  • Protect Your Eyes: Wear sunglasses to shield from wind and debris
  • Manage Allergies: If allergies are a trigger, work with your doctor on a management plan
  • Stay Hydrated: Proper hydration supports overall eye health
  • Avoid Rubbing Your Eyes: This can increase irritation and tearing
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Why Choose Blue Fin Vision for Epiphora Treatment?

At Blue Fin Vision, our London eye clinic offers:

  1. Expert Care: Our team of specialist ophthalmologists are leaders in diagnosing and treating epiphora
  2. Advanced Technology: We use the latest diagnostic and treatment technologies
  3. Personalised Treatment: Each patient receives a tailored care plan
  4. Comprehensive Support: From diagnosis through to long-term management
  5. Convenient Location: Our Harley Street clinic is easily accessible in central London

Conclusion: Taking Control of Watery Eyes

Epiphora, while often not serious, can significantly impact your quality of life. At Blue Fin Vision, we’re committed to providing the highest standard of care for patients with watery eyes. Our expert team combines years of experience with cutting-edge technology to offer effective solutions for epiphora.

Don’t let watery eyes interfere with your daily life. If you’re experiencing symptoms of epiphora or have concerns about your eye health, we encourage you to book an appointment at our London eye clinic. Remember, early intervention can often lead to simpler, more effective treatments.

Trust the experts at Blue Fin Vision to provide comprehensive, state-of-the-art care for all your eye health needs, including the management of epiphora. Contact us today to schedule your eye examination and take the first step towards clearer, more comfortable vision.

Your eye health is our priority, and we’re here to help you see clearly and comfortably. Let Blue Fin Vision be your partner in achieving optimal eye health and saying goodbye to watery eyes.

Schedule Your Consultation Today

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