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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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My eyes are continualy weeping,the left one more..blocked tear duct

Resolved Question:

My eyes are continualy weeping,the left one more than the right.Could this be a blocked tear duct and what is the solution and how serious is this?. I have had this for some time.
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 5 years ago.

Doctor DanB : Hello and thanks for your question. Are you available to chat?
Doctor DanB : Do you wake in the morning with crusting or mattering of your eyelashes or burning/irritation?
Doctor DanB : A watery is usually due to one of a few problems: 1. the eyelids not being positioned correctly (surgery, trauma, skin loosening as we age or a Bell's palsy can cause this); 2. There is some inflammation inside or on the eye (corneal scratches or infections and/or iritis) and the eye responds by being light-sensitive and also waters. This is usually not a chronic condition, but a solitary event; 3. Tear drainage obstruction or 4. Dry eye. By far dry eye is the most common cause of a watery eye.   It sounds backwards to attribute tearing to a dry eye but when the eye is dry, the eye sends a signal to the brain that tells the eye to water, but the watering is usually not sufficient to keep the eye hydrated over the long haul. There are many reasons to have a dry eye. Some of the most common are: not making enough of your own tears, having eyelid inflammation called blepharitis, allergies, living in a dry/windy/dusty environment and some medicines (antihistamines commonly). One of the first things to do to is to start treating blepharitis using artificial tears 4x/day for a few weeks. It must be consistent, daily use, however, or it won't work. Then, if there is mattering or crusting on the eyelashes in the morning and the eyes burn, sting or feel more irritated in the morning than the evening, then a daily regimen of hot compresses on the eyes x 10 minutes, followed by scrubbing the eyelashes with a dilute baby shampoo solution will help treat eyelid inflammation. If these things are done consistently, it is likely that you will have a noticeable improvement, but you must be consistent about them.  It is also important to understand that it takes 3 weeks of doing this daily before the effect kicks in and then you lose the effect if you stop it or do it only sporadically. Something important to remember, however, is if you are supplementing your dryness with artificial tears, but aren't treating the inflammation causing the dryness, then you won't see an improvement in the symptoms. The lid scrubs and compresses have to be done concurrently with the artificial tears for 3-4 weeks before tapering down on the artificial tears.
Doctor DanB : Does this information help address your concerns? Does this make sense? Do you have any other concerns about this that we haven't addressed? It appears you are momentarily offline.  I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need; please just respond with any further needs and I will address them then.If not, Please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter; this allows part of the funds that you have deposited to the website to be released for my efforts to assist you. This does not end our conversation, however-we can continue to discuss any of your concerns without further charges until you are satisfied.Any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. Thanks for your inquiry!My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.
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