Ophthalmologist & oculoplastic surgeon — Boulogne-Billancourt · Saint-Maur-des-Fossés

Watery eyes (tearing)

Chronic tearing (epiphora) is an eye that waters repeatedly, unrelated to emotion. Often dismissed, it has precise causes that an eye examination can identify — and, for most, an effective treatment.

Tear duct obstruction

In adults, the nasolacrimal duct can become blocked over time: tears no longer drain into the nose and overflow, with a risk of lacrimal sac infection (dacryocystitis). Work-up may include a dacryo-CT, and treatment is surgical: dilation or dacryocystorhinostomy (DCR).

In infants

Congenital obstruction of the nasolacrimal duct is frequent: watering and discharge from the first months of life. It usually resolves spontaneously within the first year, helped by lacrimal sac massage; probing of the tear ducts is proposed if it persists.

Other causes

An eyelid malposition (ectropion) prevents tear drainage; and paradoxically, dry eye can cause reflex tearing through irritation. Each cause has its own treatment.
nostril Lacrimal gland upper lacrimal punctum lower lacrimal punctum nasal cavity Canaliculi Lacrimal sac Nasolacrimal duct
The nasolacrimal duct opens into the nasal cavity, inside the nose — hence the runny nose when we cry.

Explore by cause

Obstruction in adults

Nasolacrimal duct stenosis: the leading cause of chronic watery eyes.

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Watery eyes in infants

Unopened duct: massage, spontaneous resolution, probing if needed.

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Dacryocystitis

A red, painful lump near the eye: infection of the lacrimal sac.

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Punctal stenosis

Narrowed puncta: the eye waters although the deep pathways are open.

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Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).

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