Uncontrollable Tear Production: Causes and Treatments

Tears

Hello Dr.
Wang: My wife is 46 years old and her eyes tend to tear up involuntarily.
What could be the cause? How can it be treated? Best wishes, Mr.
Lin, October 23, 2002.

Lin Xiansheng, 50~59 year old female. Ask Date: 2002/10/23

Dr. Wang Yuwei reply Ophthalmology

There are many reasons for tearing, including nasolacrimal duct obstruction, conjunctivitis, presbyopia, and dry eye syndrome, among others.
It may be necessary for you to provide more details about other symptoms in order to give an accurate response.
Alternatively, you could consult an ophthalmologist nearby for a proper examination.

Reply Date: 2002/10/23

More Info

Uncontrollable tear production, also known as excessive tearing or epiphora, can be a perplexing issue for many individuals. In your wife's case, there are several potential causes and corresponding treatments that can be explored.

Causes of Uncontrollable Tear Production
1. Dry Eye Syndrome: Ironically, one of the most common causes of excessive tearing is dry eye syndrome. When the eyes are dry, they can become irritated, leading to reflex tearing. This is the body's way of trying to compensate for the lack of moisture.

2. Allergies: Allergic reactions to pollen, dust, pet dander, or other environmental factors can cause the eyes to produce more tears as a response to irritation.

3. Infections: Conditions such as conjunctivitis (pink eye) or other eye infections can lead to increased tear production as the body attempts to flush out irritants.

4. Blocked Tear Ducts: If the tear ducts are blocked or narrowed, tears may not drain properly, leading to overflow. This condition can be caused by infections, inflammation, or anatomical abnormalities.

5. Eye Irritants: Exposure to smoke, wind, or chemical irritants can stimulate tear production. This is a protective mechanism to wash away irritants.

6. Neurological Conditions: Certain neurological disorders can affect the nerves that control tear production and drainage, leading to excessive tearing.

7. Medications: Some medications, particularly those that affect the nervous system or hormonal balance, can lead to changes in tear production.

Treatment Options
1. Artificial Tears: If dry eyes are the underlying cause, using preservative-free artificial tears can help maintain moisture and reduce reflex tearing.

2. Antihistamines: If allergies are suspected, over-the-counter antihistamines may help alleviate symptoms by reducing the allergic response.

3. Warm Compresses: Applying warm compresses to the eyes can help relieve discomfort and may assist in opening blocked tear ducts.

4. Punctal Plugs: If the tear ducts are functioning but tears are draining too quickly, a doctor may recommend punctal plugs. These are small devices inserted into the tear ducts to block drainage and keep tears on the surface of the eye longer.

5. Medications for Inflammation: If there is an underlying inflammatory condition, prescription medications such as corticosteroids may be necessary to reduce inflammation and control tearing.

6. Surgery: In cases where there is a structural issue, such as a blocked tear duct that does not respond to other treatments, surgical intervention may be required to correct the problem.

7. Consultation with Specialists: If the condition persists or worsens, it may be beneficial to consult with an ophthalmologist or a specialist in ocular surface disease for a comprehensive evaluation and tailored treatment plan.

Conclusion
In summary, uncontrollable tear production can stem from various causes, including dry eyes, allergies, infections, and anatomical issues. Identifying the underlying cause is crucial for effective treatment. It is advisable for your wife to consult with an eye care professional who can conduct a thorough examination and recommend appropriate interventions based on her specific situation. With the right approach, it is often possible to manage and alleviate the symptoms of excessive tearing effectively.

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