Watering Eyes
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  • Excessive tear production – rare, may be seen in dry eye (drying of the eye leads to increased secretion of tears)
  • Lid malposition causing punctal malposition – mild ectropion causes pooling and overflow of tears
  • Punctal stenosis – watering eye and non-visible punctum
  • Blockage of the lacrimal sac/nasolacrimal duct


Depends on cause:

  • lid malposition corrected surgically
  • punctal stenosis treated by surgical dilation or opening under local anaesthesia
  • Blockage of nasolacrimal duct – syringing or dacryocystorhinostomy (hole made from nose to lacrimal sac to bypass obstruction)


  • In children tear drainage system may not be patent (watery eyes and conjunctivitis)
  • Treatment: chloramphenicol eye drops and parental massage of lacrimal sac.
  • Usually spontaneous resolution, if this has not occurred by 12-24 months syringing and probing under local anaesthesia.


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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) FRACGP currently works as a GP and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University, and is studying for a Masters of Sports Medicine at the University of Queensland. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

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