Are You Suffering From Watery Eyes?
A watery eye, technically known as 'epiphora', is a very common problem which describes a failure of the tear-drainage system to adequately drain tears from the eye into the nose. Whilst the symptoms can sometimes be innocuous, many patients complain that the watering causes visual problems. It is also very common for patients to be very bothered by others misinterpreting their condition as crying, which can cause embarrassment and misunderstanding at work and in social settings.
A watery eye can be due to either an increase in tear production or impaired outflow of tears - and often both can coexist. This condition requires a meticulous examination of the eye to identify any potential underlying problems.
High tear production can often be treated conservatively. Where outflow obstruction is a problem, the solution is usually surgical. The nature of the surgery will depend on the technical details of where the obstruction is.
The most common form of surgery which we perform in our London practice is is dacryocystorhinostomy, more frequently known as 'DCR'. DCR surgery involves creating a new drainage connection into the nose allowing the tears to bypass a blocked nasolacrimal duct. This can be performed using a conventional, or 'external' approach, leaving a small faint scar on the side of the nose.
Recent technological advances have made possible an internal approach which is known as Endoscopic, or 'Endo' DCR. This requires the use of a specialised telescope (endoscope) to allow the entire operation to be performed through the nose without leaving any scars on the skin. Mr. Ezra is the Endoscopic DCR lead at Moorfields Eye Hospital, London and the scarless endonasal approach is his procedure of choice for the treatment of nasolacrimal duct obstruction.
From his practice in London, Mr. Ezra offers a comprehensive range of treatments for watery eyes including Lester Jones tube surgery (a glass tube placed between the corner of the eye and the nose) when indicated.