Tearing Problems in the Elderly

Abstract

The elderly patient may experience excessive tearing (epiphora) or a deficiency of tears. Epiphora usually results from impaired lacrimal outflow due to inflammation, foreign bodies, concretions or scarring. Treatment depends on the etiology. A deficiency of tears is generally due either to specific conjunctival disease or to deficient lacrimal secretion, such as in keratoconjunctivitis sicca. Instillation of drops or ointment often is helpful. Surgical treatment may be necessary.