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Dr. Rick
Dr. Rick, Board Certified MD
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Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My eye is weeping clear tears constantly and the inner corner

Customer Question

My eye is weeping clear tears constantly and the inner corner hurts to touch. I feel a little bit of pain under the skin around this corner of the eye. It's not affecting my vision whatsoever nor am I experiencing itchyness. It just feels like I have a headache in the corner of my eye. Could it be sinus related?__Thanks.

Edit: I have been experiencing this for about 30 hours.
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. Rick replied 4 years ago.
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Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8350
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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Expert:  Dr. Rick replied 4 years ago.
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Expert:  Dr. Rick replied 4 years ago.

Constant tearing can cause irritation to the the skin around the eye and it seems like this is your issue. Tearing can be from many causes but, in your case, I think blepharitis is the most likely.

 

 

Dry eyes can be due to many different factors. Different medicines such as psychiatric medicines, antihistamines, cold medicines and others can contribute to dry eyes. Allergies in the eyes can also contribute (make dry eyes worse). Some people have an innate deficiency in making their own tears (these people may also have other dry mucus membranes, such as their mouth, nasal passages, or genitalia). Many people have an inflammation in the eyelids called blepharitis which causes the tear film that is supposed to coat the front of the eye to not function as well, and then the eyes dry out. People with blepharitis have morning tearing, burning, and often eyelash mattering. Their symptoms get better as the day progresses, but then they get intermittent blurring when they use their eyes heavily in activities such as reading, watching TV, computer use or driving.

Because blepharitis is so under-diagnosed and the treatment for it is relatively benign, you might consider starting this treatment, while concurrently continuing artificial tears. In order to treat blepharitis, everyday in the morning you should do two things: 1. hot compresses and 2. eyelid scrubs. You should do hot compresses for 5-10 minutes over each eye at the same time. It should be as hot as you can tolerate without burning your skin, massaging the eyelids while they are on there. Then, use either commercially available preparations or a dilute baby shampoo solution to scrub your eyelashes on all 4 eyelids. The commercially available preparations are called Ocusoft or Sterilid which are both over-the-counter eyelash scrubbing treatments. These cost more money but are quicker to use. Otherwise, the cheaper alternative is the dilute baby shampoo (4-5 drops Johnson's shampoo in 1/4 cup warm water), you will take the wipe (or dip a qtip in the dilute baby shampoo solution) and use that to scrub right on the eyelashes of each eyelid for 15 seconds. That will take 60 seconds when done to all 4 eyelids. The scrubbing is done right on the eyelid margin, where the eyelashes come out. After that, just splash some water on the eyes and you're done.

It does take about 3-4 weeks of doing this consistently every day before it really kicks in, so don't stop it thinking it's not working. Also the eyes are still significantly dry during this 3-4 weeks so use the artificial tears you bought 4x/day in both eyes (one drop per application). After 4 weeks you should be able to start tapering off of the tears to as you need them.

Just doing the artificial tears, hot compresses and eyelid scrubs alone would likely start to help you after three or 4 weeks--but remember it could take this long of doing it everyday before you see a significant effect, so don't stop it thinking it's not working.

 

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Dr. Rick
Dr. Rick
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8350 Satisfied Customers
Ophthalmology since 1994 with Retina sub-specialty interest