Epiphora

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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