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My eyes (especially my left eye) are constantely waterie and

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runny. I had my eyes...
My eyes (especially my left eye) are constantely waterie and runny. I had my eyes tested and my vision was fine the specialist said my eyes were running because I was not producing enough tears and my tear ducts were over compensating hence the running eyes. He recommended I use Blink eye drops. This did not help. I am now using Naphcon A eye drops. Again this does not stop the itching and running eyes.
Any suhggestions?
Submitted: 6 years ago.Category: Eye
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Answered in 10 minutes by:
11/17/2011
Eye Doctor: Dr. Rick, Board Certified MD replied 6 years ago
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,444
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Since your issues have not completely resolved with the use of tear replacement drops I would expect that you are suffering from a combination of common anterior segment/eye lid conditions, all of which are contributing to your symptoms.

Dr. Rick :

The most common conditions that cause symptoms like yours are dry eyes (which your eye care person has already noted), allergies and blepharitis.

Dr. Rick :

When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.

Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.

The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.

Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.

Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.

When your eyes are "dry" and irritated they make more tears....this is the "something is in my eye" mode of tear production, not the "my eye feels fine and I'm making tears to keep things moist" mode. The use of natural tears will help your eye turn off the flood of "something in my eye" tears that comes from your eyes being dry. Does this make sense?


Dr. Rick :

I suggest you stop using the naphcon A as, in the long run, it tends to just make any allergy issues worse. Also it can irritate your eyes and cause them to tear even more.

Dr. Rick :

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Dr. Rick :

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Eye Doctor: Dr. Rick, Board Certified MD replied 6 years ago
Let me know if there are there any other concerns or issues you would like to discuss on this topic.
Dr. Rick
Dr. Rick, Board Certified MD
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Satisfied Customers: 11,444
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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