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01297.txt
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1994-01-17
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$Unique_ID{BRK01297}
$Pretitle{}
$Title{Tearing Without any Emotional Causes}
$Subject{eyes tearing aging sense emotional tears ectropion eyelid eyeball
lacrimal gland lid epiphora senses eye tear age aged old older elderly
geriatric geriatrics eyeballs glands lids}
$Volume{F-21,T-21}
$Log{}
Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
Tearing Without any Emotional Causes
------------------------------------------------------------------------------
QUESTION: I have a condition that I find both embarrassing and puzzling. I
am always tearing, with little tears constantly running down my cheek
requiring the constant use of a tissue. I don't have any idea what causes it,
as it happens at any time, and without any emotional causes. Though I am 79,
I am in good health otherwise and just wish there was a way of dealing with
this. Can you help me?
------------------------------------------------------------------------------
ANSWER: I suspect that your condition is one called "ectropion" where the
eyelid falls away from contact with the eyeball and leads to a poor drainage
situation for the normal passage of tears, which are constantly flowing across
your eyeball. Tears are produced by the lacrimal gland which sits in the same
bony orbit that protects the eye itself, close to the outer portion of the
upper lid. The tears pass through thin tubes into the conjunctival sac, and
then flow out across the eyeball. Normally they are then collected through
two lacrimal ducts at the inner portion of the lids, then down to the inner
part of the nose. As a result of the aging process there is a relaxation of
the tissue in the lids which allows the lids and the ducts to lose touch with
the eyeball, and so the tears can not follow their normal route, well up and
spill over. You call it tearing, doctors have a term for it too, they call it
"epiphora", but it means the same thing. When there are other symptoms, such
as redness and irritation, it's worth consulting an ophthalmologist about.
Using surgical techniques, the eyelid can be repaired so that the margin of
the lid once again is back in place against the eyeball, which allows the
tears to resume their normal path, thus preventing this type of tearing.
----------------
The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician. Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.