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Watering eyes is when tears are produced without any obvious reason.
It is caused when tears don't drain away properly or too many tears are produced. If your tear ducts become blocked or narrowed, or if you have an eye infection, excess tears can build up. This causes the tear ducts to overflow, leading to a watering eye.(1)
The symptoms of a blocked tear duct can include:
Tears running down the face
Discharge of pus
Crusted mucus along the eyelashes
Redness of the eyes
Increased susceptibility to eye infections and corneal ulcers.(2)
If you have an infection in your tear duct (through which excess tears drain from your eyes into the throat), it will need to be treated with surgery. Left untreated, the infection could spread to your eye socket and other complications such as corneal ulcers.
Dacryocystorhinostomy (DCR for short) is a common surgical procedure that is used to treat blocked tear ducts. It involves creating a new channel from the tear sac to the inside of your nose. This channel allows tears to bypass the blocked part of your tear duct.(1)
There are two methods of doing this:
Externally (from the outside, via a short skin incision).
Internally (from inside the nose: endonasal endoscopic).(3)
Fig.1. Diagram of Dacryocystorhinostomy (DCR) technique.
During the first week after surgery you may get a little bleeding from your nose. In order to minimize this, you are advised to sit up rather than lie down, and to sleep with extra pillows at night. You must not blow your nose for one week immediately after your operation. After that you are encouraged to blow your nose to clear clots.
Do not rub your eyes.
Stay away from direct sunlight and bright lights. Apply no soap /shampoo and eye make-up for up to 2 weeks post-surgery.
Avoid exercise and especially swimming for 2 weeks after surgery.
Do not apply makeup for the first 2 weeks after surgery.
You may fly from 7 days after surgery.
Avoid homeopathic medicines which promote fast healing.(3)
Things to expect at home:
There could be some bruising and swelling around your nose and eye, which should improve over a few days or weeks. You may also experience nosebleeds for a few days. However, these will usually be minor and should stop in due course.(1)
Following surgery, the patient is discharged home if stable and instructed to rest for one week, without heavy lifting, exercise, or strenuous activity that may induce bleeding. Avoid swimming for first 2 weeks after surgery.