The Ophthalmologist will make the primary diagnosis and investigate the problem including inserting dye into the eye and watching for clearance down the drainage system. The Eye Specialist may also probe the drainage ducts and flush them out. The management will be according to the cause of the Epiphora and includes drops which may be anti-allergy, antibiotic or even artificial tears. Management would also include removal of a foreign body, eye lid surgery and surgery to alleviate blockage to the drainage system.
The Ear Nose and Throat Surgeon is called when there is blockage of the distal (nasal) drainage system. Usually confirmed by the Eye Specialist. Medical management of the problem would include medical treatment of the allergic rhinitis, but surgery may be required. The operation done is called an Endoscopic DCR (Dacrocystorhinostomy). This procedure is done under General Anaesthetic using a telescope and camera system. A new opening is created from the lacrimal sac into the nose as the tube between the lacrimal sac into the lower portion of the nose is blocked. Thin silastic stents are sometimes also used.
How do I manage Epiphora?