What causes can there be so that the eyes do not stop crying?
There are situations in which the eyes cannot stop crying, there is constant tearing, even compromising the patient’s quality of life. You always have to consult a specialist because constant tear It can be a symptom from a poorly diagnosed dry eye, to a true obstruction of the tearway.
“It is essential to make an adequate differential diagnosis since treating an erroneous cause (for example, with unnecessary surgery) can make the situation worse. If the tear is constant and is not relieved by the use of artificial tears or Dry eye treatmentsit is advisable to go to an ophthalmologist, ”he warns in this regard Dr. Ali Nowrouzi, a specialist at the Ophthalmology Service of the Quirónsalud Marbella and Quirónsalud Campo de Gibraltar hospitals.
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Precise in this sense that persistent tearing may be due to two main causes:
• Excessive production of tears: occurs when the eye is irritated and responds with a greater production of tears; Being the most frequent cause the dry eye, specifically subsequent blepharitis, which alters the stability of the tear film and generates a feeling of dryness followed by an excessive tearing reflection.
• Insufficient tears drainage: It may be due to a tear -road obstruction at different levels; In these cases, tears do not drain correctly and They accumulate in the eyes.
Likewise, Dr. Nowrouzi warns that elements of the day to day and, without realizing, can contribute to excessive tearing, among which he mentions:
• posterior blepharitis (dysfunction of the Meibomio glands): the most common cause of dry eye, which alters the quality of the tear and produces irritation with reflex tears.
• Rub your eyes frequently: you can inflame your eyelids and aggravate tear dysfunction.
• Use of makeup: Some products obstruct the Meibomio glands and worsen ocular dryness.
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Therefore, the expert asserts that a specialist must be used if the tear is persistent and affects the quality of life; if there is irritation, redness or sensation of foreign body; if a tear obstruction is suspected (tearful eye without obvious irritation); or before refractive or cataract surgery, to rule out dry eye.
“A frequent diagnostic error is to confuse dry eye with a tear of the tearway and Recommend surgery unnecessary in cases where the real problem is a tear film dysfunction, ”warns Dr. Nowrouzi.
Therefore, remember that in the case of the obstructions of the tear duct, surgery is necessary when there is a confirmed obstruction and conservative treatments have failed.
In these cases it indicates that a tube and tear was carried out (in mild cases); or the Dacriocistorrinostomy through Laser (DCR), a technique by which a new channel for tear drainage is created by laser, in a less invasive way than conventional surgery, and from an abroad abroad.
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Jones tubes, an advanced solution
However, this ophthalmologist indicates that when the obstruction affects the entrance zone of the tear via (tear point or channel) An increasingly employed and indicated technique is the placement of the Jones tubes: “These tubes bypasan the obstruction and allow the drainage of tears to the nose.”
Faced with other current techniques, according to Dr. Nowrouzi, there would be the one that represents an “effective solution for proximal obstructions”, and where other surgeries do not work, at the same time that it represents a less invasive procedure than a traditional DCR, while preserving the natural anatomy of the eye.
For her part, Dr. Concepción Aránguez, specialist at the Ophthalmology Service of the Quirónsalud Marbella Hospital, recalls that the procedure creates a derivation channel for drainage of the tear.
It is a highly safe system compared to conventional techniques and its great advantage is its effectiveness to remain in its sine die, without migration, so a high rate of surgical success is achieved, ”explains the ophthalmologist.
It affects that this procedure is generally performed in an outpatient way and under general anesthesia. “During the procedure, the surgeon creates a new Lacrimal route through a transconjunctival approach which means that it is accessed without the need to make an external incision,” he concludes.
(With EFE information)
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