Clinical characteristics and tear film evaluation in adult patients with the complaint of tearing/epiphora presenting to a tertiary care oculoplastic clinic in Benha University Hospital | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 April 2025 PDF (544.89 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2025.343937.2284 | ||
| Authors | ||
| Mohamed Taha Khalil1; Ahmed Elhusseiny Daifalla2; Anmar Abdulrazzaq Yaseen* 3; Husam Mustafa Farmawi4 | ||
| 1Lecturer of Ophthalmology, Faculty of Medicine, Benha University, Benha, Egypt | ||
| 2Professor of Ophthalmology, Faculty of Medicine, Benha University, Benha, Egypt | ||
| 3Department of Ophthalmology, Faculty of Medicine, Benha University, Benha, Egypt | ||
| 4Lecturer of Ophthalmology, Faculty of Medicine - Benha University | ||
| Abstract | ||
| Background: Epiphora or tearing is the presence of a watering eye, which is a common complaint for referrals to oculoplastics clinics for evaluation. The etiology of tearing can be divided into two categories: reflex tearing and reduced tear outflow. Objective: This article aimed to evaluate clinical characteristics and tear film evaluation in patients with the complaint of tearing/epiphora presenting to a tertiary care Oculoplastic Clinic in Benha University Hospital. Patients and methods: This cross-sectional study included 55 patients presented with epiphora. Full personal and ophthalmic history were obtained, full ophthalmic examination of anterior and posterior segments was conducted and lacrimal system evaluation tests were performed including dye disappearance test, tear meniscus height, regurgitation on pressure over the lacrimal sac test, Schirmer’s test, tear break up time test, evaluation of lacrimal punctum and lid margin for laxity and diseases, lacrimal probing and syringing. Results: Male patients were significantly presented by bilateral epiphora, while female patients were significantly presented by unilateral epiphora. Patients presented with unilateral epiphora were significantly older than patients presented with bilateral epiphora. Unilateral epiphora was mainly presented with longer duration compared to bilateral epiphora. Unilateral epiphora was mainly caused by entropion and nasolacrimal duct obstruction and Entropion while bilateral epiphora was mainly caused by dry eye and punctal stenosis. | ||
| Keywords | ||
| Bilateral; Epiphora; Tear Film Evaluation | ||
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