- This is a category of diseases encompassing various problems occurring in the lacrimal apparatus, including the lacrimal glands and tear ducts.
- Causes can vary, including aging, inflammation, infection, allergy, tear duct obstruction, trauma, medication, or systemic diseases.
- Tears wash and keep the eyes moist, are produced by the lacrimal glands, and are transported to the eye surface via the tear ducts.
- Typical symptoms may include dry eyes, foreign body sensation, stinging, redness, excessive tearing, discharge, or swelling and pain at the inner corner of the eye.
- Risks and patterns may vary depending on age, dry or windy environments, smoke exposure, contact lenses, eyelid diseases, surgery or trauma, and medications being taken.
- Symptoms may be temporary or recurrent, and the course of the condition can vary greatly depending on the cause or whether there is a combination of tear deficiency and drainage impairment.
- Diagnosis is based on symptoms, medical history, and examinations of the ocular surface, eyelids, and tear ducts, and evaluates tear production and drainage if necessary.
- It is difficult to conclude the cause and severity based solely on tear volume or a single test result, and clinical symptoms may not always match examination findings.
- Management combines eye surface protection, avoidance of irritants, eyelid care, control of underlying diseases, and treatments to resolve tear duct obstruction, tailored to the cause and degree of discomfort.
- Treatment varies depending on the cause, with various options ranging from artificial tears or anti-inflammatory therapy to procedures and surgery.