Look for mucoid discharge, perform dye disappearance test when addressing epiphora

WAILEA, Hawaii — Distinguishing between watery eyes and tearing eyes in patients is important for identifying destruction to the lacrimal system, according to a speaker here.
Watery eyes do not always indicate a blocked tear duct and can sometimes be a sign of a tear film abnormality or blinking issue, Femida Kherani, MD, FRCSC, said a presentation at Hawaiian Eye 2024.
“My number one question and pearl for you is to ask the question: Does the tear run down the cheek?” she said. “[If it does], that’s frank epiphora, and destruction of the lacrimal system is