Excessive tearing, also known as epiphora, is a condition in which tears overflow onto the cheeks instead of draining normally through the tear ducts. While occasional tearing is natural, chronic or excessive tearing can interfere with daily activities, blur vision, and indicate an underlying issue within the tear drainage system. Identifying the root cause of tearing is essential to provide lasting relief and preserve ocular comfort and health.
At California Eye & Face in Fresno, patients receive expert evaluation and customized treatment for persistent eye tearing. Dr. Atif Collins, an oculofacial plastic and reconstructive surgeon, is one of only 700 surgeons in the United States certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), a distinction that reflects his exceptional qualifications and commitment to excellence. He is also board-certified with advanced cosmetic surgery training. With advanced training in tear duct anatomy and function, Dr. Collins helps patients across the San Joaquin Central Valley find relief through precise diagnosis and targeted treatment options.
What Causes Excessive Tearing?
Tearing can result from either overproduction of tears or impaired drainage through the tear duct system. Common causes include:
- Blocked tear ducts: Prevent tears from draining into the nasal cavity
- Eyelid malposition (ectropion or entropion): Can disrupt tear flow and lead to overflow
- Dry eye syndrome: Paradoxically triggers reflex tearing due to eye surface irritation
- Conjunctivitis or inflammation: Stimulates excess tear production
- Foreign body or irritation: Including dust, allergens, or contact lens issues
- Congenital obstruction: Common in infants, often resolving with time or minor procedures
- Facial trauma or previous surgery: May disrupt the anatomy of the tear drainage pathway
Accurately identifying the cause of tearing is the first step in building an effective treatment plan.
Symptoms of Tear Drainage Problems
While watery eyes are the most obvious symptom, other signs may point to tear duct or eyelid dysfunction:
- Constant tearing on one or both sides
- Mucous discharge or crusting near the eyelid corners
- Redness or irritation of the skin under the eyes
- Blurred vision from excessive moisture
- Recurrent eye infections
- Swelling near the inner corners of the eyes
If these symptoms persist despite using artificial tears or avoiding allergens, a specialist evaluation is recommended.
Diagnostic Evaluation
Dr. Collins performs a thorough eye and eyelid examination to evaluate tear production, eyelid position, and the function of the tear drainage system. Diagnostic techniques may include:
- Tear duct irrigation or probing to assess flow
- Dye disappearance test to observe tear drainage
- Imaging studies such as dacryocystography or CT scans for complex cases
The goal is to pinpoint whether the issue lies in tear overproduction, drainage obstruction, or structural eyelid problems.
Treatment Options for Eye Tearing
Treatment is tailored to the underlying cause of tearing and may include both non-surgical and surgical approaches:
Non-Surgical Treatments
- Lubricating eye drops for dry eye-related reflex tearing
- Warm compresses and lid hygiene for mild blockages
- Medications to treat inflammation or infection
- Temporary silicone plugs for partial obstructions
Surgical Treatments
When drainage issues are significant or persistent, surgery may be recommended. Options include:
- Dacryocystorhinostomy (DCR): Creates a new tear drainage pathway into the nasal cavity
- Laser-assisted DCR: A minimally invasive version with no external incision
- Punctal dilation or stenting: Opens narrowed tear duct openings
- Eyelid repositioning: Corrects ectropion or entropion contributing to tearing
Dr. Collins uses conservative, customized techniques to ensure long-lasting relief with minimal downtime.
Why Choose California Eye & Face for Tearing Treatment?
Dr. Atif Collins is a fellowship-trained oculofacial plastic and reconstructive surgeon with focused expertise in tear duct surgery and eyelid anatomy. His training at The Ohio State University and The James Cancer Center equips him to manage complex cases with precision and care. As the only ASOPRS-certified surgeon in the Fresno region, he brings a unique level of specialization to diagnosing and treating chronic tearing.
The practice is also supported by Certified Physician Assistant Rebecca Solomon, who provides pre- and post-treatment care and assists with long-term management. Patients benefit from a collaborative, compassionate approach — one that prioritizes comfort, safety, and customized outcomes.
Get Relief from Chronic Eye Tearing in Fresno, CA
If you’re experiencing ongoing eye tearing or discomfort, expert care is available. Call California Eye & Face in Fresno, CA, at (559) 449-5054 to schedule your consultation and begin your personalized treatment journey in the San Joaquin Central Valley.