• Determine if excess tearing is from increased lacrimation, decreased drainage

    4 days ago - By Healio

    WAILEA, Hawaii - The first step in treating a patient with excess tearing is to determine if it is being caused by excess tearing or decreased drainage, according to a speaker here.
    "When a patient presents with excess tearing, determine whether it is due to tear production or an increase in tears exiting the eye,” George B. Bartley, MD, said at Hawaiian Eye 2018.
    Increased lacrimation may stem from entropion, trichiasis, exposure, foreign bodies, lid margin disease, tear deficiency/instability or trigeminal nerve stimulation, he said.
    The underlying disorder must be corrected.
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