Watery Eyes (Excess Tearing) — Why It Happens &
How to Treat It
Watery Eyes (Excess Tearing) —
Why It Happens & How to Treat It
Watery eyes—also called excess tearing or epiphora—can be frustrating and embarrassing. While it may seem counterintuitive, excessive tearing is often a sign of dry eye or irritation, not too much moisture.
The good news: most causes of watery eyes are treatable once the underlying issue is identified.
MiVision offers thorough evaluations and same-week appointments in our Saginaw Office.
Common Causes of Watery Eyes
Dry Eye Syndrome
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When the tear film is unstable, the eyes overproduce reflex tears.
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These tears lack proper oil and evaporate quickly.
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Learn more: Dry Eye Treatment
Allergies
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Pollen, dust, or pet dander can trigger tearing, itching, and redness.
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Often seasonal or environmental.
Irritation or Foreign Body
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Dust, smoke, wind, makeup, or contact lenses can irritate the eye surface.
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Tearing is the eye’s protective response.
Blocked Tear Ducts
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Tears cannot drain properly, causing overflow.
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More common with age or chronic inflammation.
Eyelid Position Problems
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Eyelids that turn inward or outward can disrupt tear drainage.
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Can cause constant tearing and irritation.
Infection or Inflammation
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Conjunctivitis or eyelid inflammation may increase tearing.
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Often associated with redness or discharge.
Systemic Conditions
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Diabetes and autoimmune disease may affect tear quality and drainage.
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Learn more: Diabetic Eye Care
External reference: Excessive Tearing
When to Schedule an Eye Exam
You should be evaluated if you experience:
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Constant tearing in one or both eyes
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Tearing with burning or gritty sensation
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Overflowing tears in cold or windy conditions
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Tearing with blurred vision
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Redness, pain, or discharge
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Tearing that interferes with reading or driving
If tearing is associated with discomfort or pressure, also see: Eye Pain or Pressure
How MiVision Evaluates Watery Eyes
Your exam may include:
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Tear film quality and quantity testing
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Eyelid and tear duct evaluation
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Dry eye assessment
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Screening for infection or inflammation
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Review of systemic health and medications
Treatment Options
- Dry Eye Treatment
- Treating dryness often reduces reflex tearing.
- Improves tear quality so eyes stay comfortable.
Learn more: Dry Eye Treatment
- Allergy Management
- Allergy drops or medications reduce inflammation and tearing.
- Environmental adjustments may also help.
- Lubricating Eye Drops
- Preservative-free drops soothe irritation and stabilize the tear film.
- Eyelid Hygiene or Warm Compresses
- Helps improve oil gland function and tear balance.
- Treatment for Infection or Inflammation
- Prescription drops may be used when infection is present.
- Tear Duct Evaluation or Referral
- Blockages may require specialized treatment or procedures.
Dryness triggers reflex tearing, but those tears don’t lubricate well.
Yes — it’s one of the most common causes.
Often not, but persistent tearing should be evaluated to rule out blockages or inflammation.
Yes — tear quality and drainage often change over time.
Schedule Your Evaluation Today!
Dr. Mihlstin and our experienced team offer advanced care, close to home. Call 989-321-2655, book online or contact us below.