Brief Answer:
Possible causes and a stepwise approach discussed below

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,

I read your query and understand your concern.
Eye tearing can be caused by different conditions.

If you are having the symptoms for less than 2 weeks viral and bacterial conjunctivitis is likely, especially if no eye pain or vision changes are present. In this case, warm compresses and local antibiotics are sufficient and it should settle within 2 weeks. Hygiene is important. You need to wash hands with warm water and soap before and after applying local compresses or drops.

If the tearing is for longer than 2 weeks then other conditions such as allergic conjunctivitis or blocked tear duct are considered. Thus, it would be advisable to use Zaditor regularly. If no improvement with it in 2 weeks then blocked tear duct can be a possible cause.

If you have eye pain or vision loss, these warrant another visit with the eye doctor.

To conclude:

- if you have tearing for less than 2 weeks, make sure you complete the antibiotic treatment, use local warm compresses, keep the hygiene precautions and it should settle soon

- if it lasts more than 2 weeks, try the Zaditor drops regularly for another week, try to avoid anything that worsens the tearing.

- if no improvement in a week with Zaditor tear duct blockage can be considered and other conditions such as blepharitis, dry eye, sinusitis, inverted eyelashes, and even immune conditions and thyroid problems can be a few other rare causes.

- you may need to discuss these with your doctor and work a plan towards diagnosis and treatment

- any eye pain or vision loss warrants an urgent visit with the eye doctor.

I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.

Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician

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