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Nicolas Biro, M.D.Oculoplastic Surgery
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Symptoms and Concerns

Constant Watery Eyes

Persistent tearing may come from eye-surface irritation, eyelid position, blink function, or narrowing within the tear-drainage pathway.

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Why evaluation matters

One Symptom Can Have Different Contributors

Tears can run down the cheek because the eyes are producing extra tears, because the eyelids are not directing tears normally, or because drainage is narrowed. Dryness and irritation can paradoxically trigger reflex tearing, so treatment should follow an examination instead of assuming every watery eye is a blocked tear duct.

Possible contributors

  • Dryness, allergy, inflammation, or another source of ocular-surface irritation
  • An eyelid-position or blink problem
  • Narrowing at the tear opening or farther along the drainage pathway
  • Prior infection, trauma, surgery, facial weakness, or sinus-related history

When routine scheduling is not appropriate

Painful swelling near the inner corner of the eye, fever, rapidly increasing redness, significant eye pain, or reduced vision requires prompt medical evaluation.

Related Care Pathways

These procedure pages explain possible care pathways. The appropriate next step depends on the diagnosis, examination, goals, and urgency.

Tearing and Blocked Tear Ducts

Evaluation of persistent tearing to identify eyelid, ocular-surface, or tear-drainage causes.

What to know

Entropion and Ectropion Repair

Treatment planning for an eyelid that turns inward or outward and no longer protects or lubricates the eye normally.

What to know

Clinical references

See how sources, physician-review labels, and corrections are handled in the BiroMD content standards.

This page provides general education, not a diagnosis or treatment recommendation. Seek urgent care for sudden or severe eye, vision, or neurologic symptoms.

Your next step

Choose an Office for Oculoplastic Evaluation

Select the more convenient office, request an appointment through its official scheduling service, or call directly. The office confirms availability and visit details.