Does Constant Tearing Require Surgery?

If you have eyes that constantly are tearing, there could be something wrong in the composition of your eyes. There are several reasons for constant watering of the eyes in adulthood, some that can be treated with non-invasive methods and others that may require surgery. Here are some eye issues that may require surgery to stop tearing.

Malposition of the Eyelid

Blinking is vital to proper tearing in the eye. If the eyelids are malformed or impacted by trauma, the malposition can cause issues with excessive tearing. Eyelid plastic surgery to reposition for correct blinking ability can be used to treat excess tearing.

Obstruction of the Nasolacrimal Duct

Some older adults obtain an obstruction in the nasolacrimal duct, tearing that is persistent in one eye. This can be treated by performing a dacryocystorhinostomy (DCR). This can be done with an external incision on the outside of the nose. The goal is to create a new pathway for tears into the nasal passage, stopping constant tearing in the affected eye. Stents may be needed to help ensure the new pathway for the tears, usually left in for up to six months.

There are other causes of constant tearing that may not require surgery. An inflammation of the eyelid or blepharitis is a common cause of tearing. Treating the inflammation can relieve watering eyes and does not usually require surgery.

If you have problems with constant tearing, schedule an exam and consultation with an oculoplastic & reconstructive surgeon that can diagnose your condition and offer treatment solutions. If surgery is needed, an experienced oculoplastic surgeon can perform the procedure to give you relief from your eye tearing.

Posted on behalf of:
Kami Parsa, M.D.
Oculoplastic Surgery
465 N Roxbury Dr. Suite 1011
Beverly Hills, CA 90210
(310) 777-8880