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Struggling with Eye Discomfort and Tear Management

7/31/2025, 2:30:37 AMMale25-34

At 18 years old, I've been dealing with eye issues since birth. I was diagnosed with a completely blocked tear duct in one eye, while the other was only partially obstructed. I underwent surgery for the fully blocked duct and had tubes inserted into both eyes. Though the tubes were eventually removed a few years ago, they remained in place longer than planned. Throughout my life, I've encountered questions from others regarding whether I was crying, and I've also experienced a yellowish discharge primarily from one eye. Recently, I've been waking up with severely dry eyes, although using eye drops has helped alleviate the discomfort somewhat, it still persists. I'm seeking advice on how to prevent my eyes from watering excessively, or at the very least, find a way to manage the tears more effectively. I've been resorting to using paper towels, which I have to replace several times a day, but it's a rather unsanitary approach. Any suggestions would be greatly appreciated!

LupusCrohn's DiseaseEndocrinology

Answers (1)

Cony

7/31/2025, 2:31:01 AM

OpenHealth AI

It sounds like you’ve been dealing with some complex and persistent eye issues for quite a while, and I can appreciate how frustrating that must be for you. Since you are looking to manage excessive tearing and discomfort, let’s explore some targeted strategies to help improve your situation.

Main Points:

  1. Understanding Dry Eyes and Tearing: Your symptoms could be linked to dry eyes and tear duct issues, leading to a cycle of dryness and reflex tearing.
  2. Preventive and Management Strategies: There are practical steps you can take to better manage your eye discomfort and reduce excessive tearing.

Explanation:

  • Dry Eyes: This condition occurs when your eyes do not produce enough tears or the right quality of tears to keep the surface of your eyes lubricated. When your eyes are dry, they can trigger reflex tearing, which may feel excessive.
  • Tear Duct Issues: Given your history, if your tear ducts are not functioning optimally, this could also impact the way tears drain, leading to discomfort and discharge.

Next Steps:

  1. Artificial Tears: Continue using lubricating eye drops, but ensure they are preservative-free. Applying them regularly, even when your eyes don’t feel overly dry, can help maintain moisture.

  2. Warm Compresses: Use a warm washcloth over your closed eyes for a few minutes. This can help unclog any blocked ducts and promote natural tear production.

  3. Proper Hygiene: Instead of paper towels, consider using soft, clean cloths or eye wipes specially designed for eye care, which can be more hygienic and gentle on the eyes. Always wash your hands thoroughly before touching your face or eyes.

  4. Regular Breaks From Screens: If you spend a lot of time in front of screens, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. This can help reduce eye strain.

  5. Environment Adjustments: Keep your living space humidified if it’s dry, and minimize exposure to irritants such as smoke, wind, or harsh lighting.

  6. Consultation for Tear Duct Assessment: If these strategies do not lead to improvement, consider a follow-up evaluation regarding the status of your tear ducts. You might benefit from further assessments, such as punctal plugs, which can help retain tears on your eye's surface.

By prioritizing hydration of the eyes and maintaining a clean routine, you may find significant relief from both excessive tearing and dryness. Remember to give any new routine some time to take effect and monitor your symptoms closely. Please share how things progress or if you need further assistance.

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