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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tearing Eye After Rotator Cuff Rupture And Herniated Discs. Related Symptoms?

I have zero history of any eye problems, I wear glasses only for reading, my eyesight has always been perfect. I recently injured myself in a heavy lifting accident, resulting in the complete rupture of my rotator cuff on the right shoulder . This same accident caused 2 herniated discs in my cervical spine (c3-c4) as well as a 2 mm retrolisthesis of c4 upon c5. Now my left eye tears constantly for no reason. There is no irritation, no corneal scratching , nothing happened that would explain this physically... my question is this: Is it possible that the neck / shoulder injury could be a factor in this sudden onset of constant tearing of the left eye?
Mon, 25 Feb 2013
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Ophthalmologist,  's  Response
Herniated discs between C1 and C4 levels cause an irritation of nerves in the region and may lead to various symptoms commonly a tingling sensation or numbness of the face and head supplied by the Trigeminal nerve or the fifth cranial nerve. Any damage to the facial or the seventh cranial nerve can lead to a palsy of the facial muscles supplied by that nerve. Is there any asymmetry between the sides of your face? Is there a drooping of the angle of your mouth or some weakness in shutting the affected eye? The watering may be a result of weakness of the orbicularis oculi which refers to the muscle that helps the eye to close forcefully. Certain fibres called parasympathetic nerve fibres upon stimulation cause reflex tearing. This is not common but a possibility. Treatment is directed towards the herniated discs as the problem does not arise from the eye. Continue treatment as directed by your orthopedic surgeon and your ocular complaint should reduce with time.
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Tearing Eye After Rotator Cuff Rupture And Herniated Discs. Related Symptoms?

Herniated discs between C1 and C4 levels cause an irritation of nerves in the region and may lead to various symptoms commonly a tingling sensation or numbness of the face and head supplied by the Trigeminal nerve or the fifth cranial nerve. Any damage to the facial or the seventh cranial nerve can lead to a palsy of the facial muscles supplied by that nerve. Is there any asymmetry between the sides of your face? Is there a drooping of the angle of your mouth or some weakness in shutting the affected eye? The watering may be a result of weakness of the orbicularis oculi which refers to the muscle that helps the eye to close forcefully. Certain fibres called parasympathetic nerve fibres upon stimulation cause reflex tearing. This is not common but a possibility. Treatment is directed towards the herniated discs as the problem does not arise from the eye. Continue treatment as directed by your orthopedic surgeon and your ocular complaint should reduce with time.