Excessive Tear Production: Causes and Treatments

Fear of drafts?

In the past year or two, I have experienced excessive tearing while riding a motorcycle or encountering strong winds.
This issue seems to be getting worse and is quite bothersome.
What could this symptom indicate, and how should it be treated?

Ann, 40~49 year old female. Ask Date: 2004/10/26

Dr. Zhang Yanrui reply Ophthalmology

Hello, tearing after exposure to wind is a normal reflex action due to dryness on the surface of the eyes.
This phenomenon is less common in younger individuals, as they tend to have higher tear production.
Using a full-face helmet may help alleviate some symptoms.
If the situation is severe, it is recommended to visit an ophthalmologist for a detailed examination to determine if dry eye syndrome may be present.
Thank you.

Reply Date: 2004/10/26

More Info

Excessive tear production, also known as epiphora, can be a frustrating and uncomfortable condition. It can occur for various reasons, and understanding the underlying causes is essential for effective treatment. In your case, the symptoms of excessive tearing when riding a motorcycle or encountering strong winds suggest that your eyes may be reacting to environmental stimuli, which is a common trigger for many individuals.

Causes of Excessive Tear Production
1. Environmental Factors: Wind, dust, and bright light can irritate the eyes, leading to increased tear production. This is a protective reflex, where the eyes produce more tears to wash away irritants or to keep the surface of the eye moist.

2. Dry Eye Syndrome: Paradoxically, excessive tearing can sometimes be a response to dry eyes. When the eyes are not adequately lubricated, they may produce more tears in an attempt to compensate for the dryness. This can happen due to various reasons, including aging, certain medications, or underlying health conditions.

3. Allergies: Allergic reactions to pollen, pet dander, or other allergens can cause the eyes to become inflamed and produce more tears. If you have a history of allergies, this could be a contributing factor.

4. Infections or Inflammation: Conditions such as conjunctivitis (pink eye) or blepharitis (inflammation of the eyelids) can lead to excessive tearing. These conditions often come with additional symptoms such as redness, itching, or discharge.

5. Blocked Tear Ducts: Sometimes, the tear drainage system can become blocked, leading to tears spilling over onto the face instead of draining normally. This can occur due to various reasons, including infections, inflammation, or anatomical abnormalities.

6. Contact Lens Use: If you wear contact lenses, they can sometimes cause irritation or dryness, leading to excessive tearing as your eyes try to compensate.

Treatment Options
1. Consult an Eye Specialist: The first step in addressing excessive tear production is to consult with an ophthalmologist or optometrist. They can perform a thorough examination to determine the underlying cause of your symptoms.

2. Artificial Tears: If dry eye syndrome is diagnosed, using preservative-free artificial tears can help lubricate the eyes and reduce the reflex tearing that occurs due to dryness.

3. Allergy Management: If allergies are identified as a cause, antihistamines or other allergy medications may be recommended. Additionally, avoiding known allergens can help reduce symptoms.

4. Warm Compresses: For conditions like blepharitis, applying warm compresses to the eyes can help reduce inflammation and improve tear drainage.

5. Punctal Plugs: In cases of blocked tear ducts or excessive tearing due to dry eyes, your eye doctor may recommend punctal plugs. These tiny devices are inserted into the tear ducts to help retain tears on the surface of the eye.

6. Surgery: In rare cases, surgical intervention may be necessary to correct anatomical issues with the tear drainage system.

7. Protective Eyewear: When riding a motorcycle or in windy conditions, wearing wraparound sunglasses can help shield your eyes from wind and irritants, potentially reducing excessive tearing.

Conclusion
Excessive tear production can be caused by a variety of factors, and understanding the specific triggers in your case is crucial for effective management. It is advisable to seek professional medical advice to determine the underlying cause and appropriate treatment options tailored to your needs. By addressing the root of the problem, you can find relief from the discomfort of excessive tearing and improve your overall eye health.

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