Excessive Tearing

Fix Excessive Tearing

Stop Excessive Tearing

Your vision depends on keeping your eyes healthy and moist.  That’s the job your tears have been specifically designed to do.

Tears nourish and lubricate the surface of the eye.  They wash away dust, dirt and debris. A smooth, balanced tear film also allows light to enter the eye optimally, so that you can see clearly.

If there is a disturbance of the tear film, patients will often experience tearing, burning, irritation and (most importantly) blurred vision. When you have excessive tearing, it can be frustrating and painful.

But, for many people with excessive tearing, there are solutions that can help you.

Depending on the cause of the tearing, Dr. Cohen can suggest an appropriate course of treatment. These range from a warm compress through to surgery, such as a Dacryocystorhinostomy (DCR).

If you have excessive tearing, there are options available that can improve your situation.  A consultation with Dr. Cohen can get all of your questions answered, so that you can eliminate pain and see clearly again.


There are many causes of excessive tearing.  To understand how you get excessive tears, you need to understand what tears do and how they work.

Tears are an incredibly crucial part of your eye’s normal function. Tears keep the eyes moist and clean of dust and dirt. To do their job, a thin layer of tears need to be present in the eyes at all times.

This is made possible by a small gland above your eye.  This gland creates the fluid that makes up tears, and the fluid flows into small channels in your eyelid.  These channels distribute the tears over your eye just like a windshield wiper disperses washer fluid over your windshield.

The fluid is then pulled through the eye to a small channel in your lower eyelid.  The fluid moves through this channel into a small duct on the side of your eye, just below your skin.  This is called the nasolacrimal duct. This duct drains the fluid into your nasal cavity, making sure that the eye doesn’t overflow with tears.

A common cause of excessive tearing is a blocked nasolacrimal duct. This blockage can be caused by a number of things, including aging, trauma, inflammatory conditions, medications and tumors.  No matter the cause, when this happens, fluid in your eye has no outlet to drain into, so the tears simply overflow in your eye.

Everybody’s situation is different, and it is difficult to predict exact recovery times. On average, most patients require 1-2 weeks recovery time before they can resume normal daily activities.

Dacryocystorhinostomy, also known as DCR, is the medical term for a surgical procedure that bypasses tear ducts that may be blocked.

The exact treatment will depend on the cause of the symptoms. In mild cases, warm compresses and antibiotics may be recommended. In other cases, surgery to bypass the tear duct obstruction, called a dacryocystorhinostomy (DCR ) may be best.

A DCR is performed by creating a new tear passageway from the corner of the eye to the nose, bypassing the obstruction. A small silicone tube called a stent may temporarily be placed in the new passageway to keep it open during the healing process. In a small percentage of cases, the obstruction is between the eyelid and the nose.

In these cases, in addition to the DCR procedure, it may be necessary to insert a tiny artificial tear drain made of Pyrex glass and allow tears to drain directly from the eye into the nose.

There are other possible treatments available, as well.  The right treatment for you will depend on your unique situation and your medical history.  If you have excessive tearing, the best course of action would be to arrange a free consultation with Dr. Cohen so that he can assess the situation and review your options with you.