Chronic watery eyes: Causes and treatment

Constant watery eyes can be very annoying and obstructive to vision. We speak to expert consultant ophthalmologist and oculoplastic surgeon, Miss Kimia Ziahosseini, who explains the causes and treatment for the condition.

What could cause chronic watery eyes?

There are various factors that can lead to chronic watery eyes. One of the most prevalent causes is an obstruction or narrowing in the tear drainage pathway. This intricate apparatus starts from the tear ducts and continues through a complex tubing system into the nose.

If there is any obstruction or narrowing anywhere along this pathway, it can result in excessive tear production, leading to the condition of watery eyes. Additionally, certain conditions affecting the eye's surface or overall eye health can also contribute to the overproduction of fluid and thus cause watery eyes.

Can glaucoma cause watery eyes?

Glaucoma itself does not typically cause watery eyes. However, the treatment for glaucoma, such as eye drops or certain types of glaucoma surgery involving adjunct medications, can cause narrowing and obstruction in the tear drainage pathway. This, in turn, may lead to irritation of the ocular surface and excessive tear production, making the eyes watery and uncomfortable.

How are watery eyes treated?

The appropriate treatment for watery eyes largely depends on identifying the underlying cause. A thorough assessment is necessary to pinpoint the specific issue. If an underlying narrow angle or obstruction of the tear drainage valves is identified, it can often be treated through various surgical procedures.

Similarly, if the problem lies with the eyelids, eyelashes or other related factors, the treatment will be tailored to address the underlying pathology.

Are watery eyes ever a sign of something more serious?

In rare cases, yes. Sometimes, watery eyes may be a symptom of more serious conditions. For instance, a growing mass in the tear duct passage, affecting the lacrimal sac, sinuses or nose, can lead to tear drainage obstruction and ocular surface issues. Some of these conditions can be significant and, if left untreated, may even result in vision problems or blindness.

There could also be life-threatening masses within the sinuses, nose, or tear drainage system. Therefore, it is essential to seek medical attention promptly if such symptoms persist.

When should I see a doctor about watery eyes?

If you experience persistent watery eyes that do not improve over time, it is advisable to make an appointment and see an optometrist. Optometrists are better qualified to assess the various components of the eye compared to a general practitioner, and they can provide appropriate guidance and treatment for the issue. However, if necessary, a general practitioner can also be consulted for further evaluation.

If you are suffering from chronic watery eyes and would like to book a consultation with Miss Ziahosseini, simply visit her Top Doctors profile today.