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Archive | Tearing Disorders

What’s the Best Way to Treat Tear Trough Deformity?

A tear trough refers to the inherent semi-circular depression that runs below the eyes from the innermost corners of the eyelids to the outermost corner of each eye. In the worst cases, this depression can extend into the upper cheek region. The natural process of aging tends to alter the appearance of tear troughs resulting in unsightly puffiness and a perpetually fatigued appearance.

eyelid surgerySurgical approach
At our practice, tear trough deformity is a common cosmetic concern, particularly among women. Eyelid surgery used to be the standard approach for improving the appearance of deep tear troughs. Surgery on the lower eyelids either repositions or removes fat to restore fullness in the tear trough area.

Non-surgical approach
The soaring popularity of injectables in recent years has resulted in the use of hyaluronic acid fillers for smoothing out tear trough deformities. Specifically, Restylane injections have shown great promise in softening tear troughs and eliminating shadows underneath the eyes (perceived as dark circles). Restylane also delivers long-lasting results, improving tear trough deformity for six months to a year.

More than just tear trough correction
Whether via surgery or through dermal fillers, Dr. Tresley does more than correct tear trough deformities. He also takes facial harmony and balance into consideration when creating a personalized facial rejuvenation plan.

Would you like to learn more about surgery and dermal fillers for tear trough correction? Call 847.291.6900 to set up an appointment today!

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Symptoms of Blocked Tear Ducts in Children and Adults

tearing disordersIn ideal conditions, the eyes are regularly lubricated by a thin film of tears that are continuously produced by the lacrimal glands. These tears are consequently drained towards the corners of the eyes via the puncta. From here, the tears travel to the lacrimal sac, then to the nasolacrimal duct, nose, and finally, the throat where they are swallowed.

Blockage in the nasolacrimal duct can occur in children or adults. The duct may not be completely developed at birth in children, while a tumor, infection, or injury may lead to obstruction in adults. A blocked tear duct typically shows itself with the one or more of the following symptoms:

  • Increased tearing or overflow of tears in newborns, which becomes noticeable during the first two to three weeks after birth
  • Presence of pus-like discharge
  • Presence of crusted mucus along the lash line
  • Blurred vision
  • Fever that may arise from recurrent infections
  • Blood-tinged tears
  • Diagnosis of blocked tear ducts

A series of tests will be done to diagnose blocked tear ducts. Apart from the standard physical and ophthalmic examination, assessment of medical history, and imaging tests, a more specific exam to check for blockage in the ducts is performed. This exam involves gentle flushing of dyed fluid via a special instrument to the suspected blocked tear ducts.

For more information on the diagnosis and treatment of blocked tear ducts, call 847.291.6900 to set up an appointment.

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Assessment and Evaluation of Tearing Problems

Tearing DisorderWe occasionally have patients, both women and men, who come in complaining of excessive tearing. Aside from seeking treatment, they also want to know the causes of their condition. Does it have to do with lack of sleep? Perhaps an adverse side effect from a medication they’re taking? Below is an outline of what you need to know about how we assess and evaluate tearing disorders.

Understanding the Normal Tearing Process

The lacrimal glands, situated within the eyelids and the white portion of the eyes, primarily produce tears. The main function of tears is to keep your eyes lubricated. When tears are produced, they are drained into the tiny openings (referred to as the upper and lower puncta) situated in the innermost portions of the upper and lower eyelids. These tears are consequently drained into the lacrimal sac and then transported to the back of the nose and throat where they are naturally absorbed via the nasolacrimal ducts.

Possible Causes of Excessive Tearing
Excessive tearing disorders may be a result of these possible causes:

  • Birth defects, infection, or injury resulting in blockage of one or more parts in the tear drainage system
  • Eyelid or eyelash problems
  • Environmental irritants such as fumes, wind, and smoke
  • Pre-existing eye conditions such as glaucoma and dry eye syndrome
  • Allergic reactions
  • Eye strain
  • Adverse effects from certain medications
  • Consequence of inflammatory disorders

Assessment and Evaluation
The right treatment approach to excessive tearing can only be formulated after a thorough assessment and evaluation, which can be achieved through the following:

  • Physical examination of the eye and surrounding structures
  • Review of past and present medical history, such as existing disorders that may have resulted in excessive tearing and medications that could cause existing symptoms
  • Review of your specific symptoms
  • Assessment of your lifestyle (smoking, nutrition, alcohol intake, sleeping habits)
  • Imaging tests and laboratory exams (Schirmer test, nasal endoscopy, etc.)

Dr. Tresley’s approach to the assessment, evaluation, and treatment of tearing disorders is based on the premise that each patient is unique — what works for one may not work for the next patient with the same set of symptoms.

If you think you have tearing problems, we encourage you to get in touch with us for a personal consultation. Call 847.291.6900 to set up an appointment!

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Understanding the Possible Causes of Excessive Tearing

Excessive tearing or frequent episodes of watery eyes may be a sign of an underlying condition or may be a condition in itself. As a board certified ophthalmologist, Dr. Daniel Tresley has helped men and women who have issues with excessive tearing through accurate diagnosis of the underlying problem. If you’ve been tearing more than the usual lately, here’s what you need to know!

A Quick Look on the Normal Lacrimal System

The body’s lacrimal (tearing) system is mainly composed of 3 parts: the glands responsible for producing the tears, the openings (drainage) in which the tears freely flow, and the ducts inside the nose that drain the tears. Excessive tearing, medically known as epiphora, may result if there is a problem with one or all of the three basic parts. In some cases, irritation from outside elements may also lead to overproduction of tears such as in the case of allergies.

Problems with the Tear Glands

There are several circumstances wherein problems may arise in the tear glands which could result to excessive tearing and of the most common reason has to do with the meibomian glands (one of the lacrimal glands responsible for producing the oil in tears which prevents it from evaporating quickly).

Issues with the meibomian glands may either lead to overflow of tears or ironically, dry eye syndrome. In dry eye syndrome, lack of oil produced by the meibomian glands will only make the eyes drier as one blinks.

Problems with Drainage

The openings in which the tears freely flow are called punctum. Each four openings or puncta are akin to valves which take tears out of the eye. They can be found out within the edges of the eyelids just near the nose. If one or all of the puncta are blocked, tears are most likely to overflow. Dirt particles and infection are the most common causes of blocked puncta.

Problems with Drainage Ducts

Tears from the punctum will drain down to the nasolacrimal duct which goes through underneath the skin and the nasal bones. This explains why your nose becomes stuffed when you cry. Blockage in the nasolacrimal duct may lead to excessive tearing. Swelling and pain in the area between the eye and the nose may also be present.

Your Personalized Treatment Plan

Treatment for excessive tearing will be dependent on any of the aforementioned underlying cause. A thorough assessment by Dr. Tresley will be done before a personalized treatment plan will be formulated. Treatment may also range from antibiotics  to warm compresses to surgery.

Call us at 847.291.6900 or fill out this contact form to schedule an appointment today. We look forward to helping improve your vision and lead a better life!

 

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