As we mentioned above in the eyes, tearing (epifora) is seen as a basis for two reasons. The first of these is the increased secretion of tears. To cry, for example, the natural increase in secretion of tears and sometimes for good reason. Reflex reflex lacrimal glands and cry but actually created by. Reflex tear secretion in the same way as foreign bodies in the eye will increase. Similarly, in the case of dry eye tears and lacrimal glands increased with the introduction of reflex tearing in the eyes can be seen. In addition, as part of the body's immune response to infections, increased tear is seen. Also, allergic reactions, systemic diseases are the reasons the team also increased tear. In such cases, accurate diagnosis for the treatment of watering of the eyes by factors need to be eliminated.

Eyes watering and drainage increases mentioned above tear to another situation where yasarman is the formation of a bottleneck in the system. In fact, when the literature is analyzed, it is a condition of watering of the eyes (epifora) is the most common cause. In such cases used tear of the kidney, the problem in the tissues around the eyes and even kroniklesere certain pathologies may lead to the prevalence of the eye itself. In such cases, experienced in the tear drainage system, it is imperative that you be evaluated by a physician to the principles of oculoplastic surgery.

Epifora (with watery eyes) the main reasons are:

• A bottleneck in the excretory lacrimal system (most common cause)
• Chronic dry eye chronic irritation in the eyes or on the surface which creates situations (the second most common cause)
• Blink tears of the pump mechanism that works with the excretory system to route to insufficient waste
• Infections
• Allergic reactions
• Foreign body to escape
• Immunological disorders

In newborns congenital duct obstruction, in fact, been fully open canals rather than because of an obstruction will occur. Usually opening the lacrimal sac into the nose of most of sub-section in a few micro-flow valve output is the main reason. The evacuation mechanism that is not working well porking constantly the eyes of the newborn (epifora) and she's got tears, and those tears flows outward from the eye for the edges of the sidewalls and noticed that it is quite early by families. Because these babies are inevitable due to congestion repetitive infections of the eye, conjunctiva, and holes that serve as infections they spend. At times like this watery eyes with redness, ocular discharge, is seen on eyelids swollen and painful. Sometimes there may be fever and the newborn is restless. Families usually caused by tearing of the newborn such a noisy quite early from the table and realize that apply to health care institutions. From time to time, also well-child examination, the child can be diagnosed by a doctor. Newborns (congenital), an ophthalmologist and oculoplastic surgery cases of lacrimal duct obstruction, please refer to the specialists as soon as possible is the right thing to do. These infants usually followed until they reached 10-12 months old, massage and medical treatment at the time was developing infections is recommended. The subject of massages is also important. Ophthalmologist, oculoplastic surgeon, if possible, the family should be explained as clearly as you can to the massage. The nose actually opened the valve on the bottom section of the channel opened congestion due to lack of a proper massage application, these channels with a very large portion (approximately 80%) can be opened towards a period of 10-12 months. In the period of the development of infections, you will need to intervene with one eye examinations and treatment. Still, still continued to be watered around the age of 1, congestion arises an indication for surgical intervention in infants in spite of the massages that won't open. From this age because the valves no longer will begin to harden unopened too late for surgical intervention should not be. Custom developed application with a probe for the opening of the channels are channels by entering tears. From time to time, in their way, applications can also be made with the balloon expansion intubation or tears.

As it can be congenital lacrimal duct obstruction can occur with age.

In this type of congestion seen at older ages and the level of congestion location is quite important. Fairly common but easily one of the entrances of the channels of the cases that can be bypassed agizcik of tears (Punk was) is a condition becomes blocked. They resort to drugs, patients often visit the doctor and a bag. Quite a frustrating condition before the opening of routes to be used punktal comfort stagnation tears nor in many cases even more aggravate the drugs improve the condition causes patients to enter into a vicious cycle.

Punk expansion by opening an office environment or operating conditions of congestion in the blockage of the intervention under local anesthesia may be preferred. Plug and can be used again a number of steps designed to prevent clogging tubes. In advanced cases, with some modifications applied to this punktum punktoplasti with operations at the entrances can be kept open channel passage.

At lower levels it can be seen as isolated or together with punktum channel blockages. Inspection tests to be performed in the environment, and the level and severity of obstruction can be determined. At lower levels in the adult (acquired) lacrimal duct obstruction treatment is mostly surgical. Although several different methods could be applied in surgery, the main purpose is to create a new passage clogged repair or baypaslanma of the area. Tear drainage where the obstacles are removed, the success rate of this kind of surgery is quite high.

Lacrimal duct obstruction neglected in the progression of the infection, especially in the region of the sac abscesses, and even fistullesme by perforating the skin can be seen. Patients usually suffer from severe pain, the fire can be seen. With the advancement of fluid under the skin, the inflammation in the tissues around the eyes preseptal cellulitis which is a very serious condition may develop. Even loss of the eye that can cause spread to the orbit. Early and accurate diagnosis of Channel blockage, congestion level, and for these reasons are quite the correct identification of the etiology is essential.

A detailed eye examination and correct diagnosis and treatment of a physician's knowledge and experience in oculoplastic surgery is one of the most important points of assessment.

As we mentioned above, many types of lacrimal duct obstruction surgical treatment is still the most effective and permanent solution.

Birth (congenital) since the age of lacrimal duct obstruction in 1 probing, intubation, balloon or options at an advanced age, resulting acquired (acquired) lacrimal duct obstruction in DSR (dakriyosistorinostomi) is the most effective surgical method. About the operation of DSR is a type of surgery that has a history of 120 years. Italian Toti in 1904 by an ophthalmologist for the first time was known by this name because it is implemented. The purpose of this operation is to create a new way baypaslayar tears clogged areas between SAC and the nose. Fascial block with general anesthesia or under local anesthesia can realize

Patients are usually discharged the same day will be. The eyes are not closed. External (open) method of the nose between the eyes of the region through a micro incision is closed with stitches and the aesthetic operation is performed subside after approximately 7-10 days. Through the channels of the closed type can be entered from the inside of the nose or with a laser. The most successful method open (External) is DSR. The tradition in the hands of experienced oculoplastic surgery, and 97-98% success rate and the persistence continues for many years.

It has been previously operated, but can be applied to DSR revision in patients who have complaints of watering. Also experienced in such complex situations in the field of oculoplastic surgery, tear ducts and it would be more correct about the anatomy of the eye with a physician to advance.

* Watering of eyes (epifora) is one of the most common causes of dry eye is as it sounds pretty strange to me. In fact, the gland that makes tears due to dryness of the eye with the introduction of reflex tears are secreted much more.

However, this is the main such as the quality of tears of tears, and you can't be enough, because it cannot meet the needs of the eye surface. So despite tearing in the eyes, will continue to have dry eye symptoms, reflex secretion gradually increases and creates a vicious cycle. All races and genders in the world in dry eye because it is one of the most common eye ailments, resulting in dryness of the eye tearing (epifora) is engaged in one of the groups most complaints of the patients with clinical applications.

The epifora in this patient group (eyes watering) to treat naturally you need to treat the dryness of the eye. However, due to the large number and different subtypes of dry eye syndrome because an accurate diagnosis is very important.