It’s a common and often annoying problem: Why Do My Eyes Always Water? Excessive tearing can be triggered by various factors, and while sometimes it resolves on its own, persistent watery eyes can indicate an underlying issue that needs attention. Your eyelids play a crucial role in your eye’s drainage system. When these delicate structures aren’t functioning correctly, or when other problems arise, it can lead to your eyes watering more than usual.
Eyelid Issues and Tear Drainage
Your eyelids are more than just protectors of your eyes; they are integral to the tear drainage system. If an eyelid sags (ptosis) or turns outwards (ectropion), it disrupts the natural flow of tears. Instead of draining properly through the tear ducts, tears can overflow, leading to persistently watery eyes. Conversely, an eyelid that turns inward (entropion) can cause eyelashes to rub against the eye’s surface, causing irritation and reflex tearing. These conditions not only cause discomfort but can also lead to redness, mucus discharge, dryness, and increased sensitivity to light.
For sagging or drooping eyelids, or if you experience consistently watery or irritated eyes, consulting an eye doctor is essential. While artificial tears and lubricating ointments can provide temporary relief, surgical intervention is often necessary to correct the eyelid position and restore proper tear drainage. For ingrown eyelids, doctors may initially explore non-surgical options such as specialized soft contact lenses that act as a protective barrier for the eye’s surface. In some cases, Botox injections or skin tape may be used to temporarily prevent the eyelid from turning inward.
Bumps on the Eyelids: Styes and Chalazions
The appearance of a bump on your eyelid could be due to a stye or a chalazion, both common eyelid conditions. Styes are typically more painful and tend to be larger, resulting from an infection of an oil gland at the base of an eyelash. Chalazions, on the other hand, are usually painless and develop when an oil gland in the eyelid becomes blocked.
To manage eyelid bumps, a simple home remedy can often be effective. Soak a clean washcloth in warm water and apply it to your eyelid for 10 to 15 minutes, repeating this process 3 to 5 times daily. Gentle massage around a chalazion with a clean finger may also help to encourage drainage. If these measures don’t provide improvement, your doctor might prescribe antibiotic medications to combat infection, particularly in the case of a stye, or steroid injections to reduce swelling associated with a chalazion. If the bump persists, or if it begins to affect your vision, surgical drainage by a medical professional might be necessary. It is crucial to avoid attempting to pop a stye or chalazion yourself, as this can lead to more serious infections and worsen the condition.
Ingrown Eyelashes (Trichiasis)
Ingrown eyelashes, medically known as trichiasis, occur when eyelashes grow inward, towards the eye. These misdirected lashes constantly rub against the delicate surface of the eye, leading to significant irritation and, consequently, excessive tear production as the eye attempts to flush out the irritant.
An eye doctor can address ingrown eyelashes by manually removing the offending lash. For a more permanent solution, they may recommend procedures to remove the eyelash follicle, preventing regrowth. Ignoring ingrown eyelashes can lead to more serious complications, including corneal abrasions (scratches) and corneal ulcers, which can severely impact vision and eye health.
Cornea Problems and Watery Eyes
The cornea, the clear front surface of your eye, is susceptible to various problems, ranging from minor scratches to open sores known as corneal ulcers. Inflammation of the cornea, termed keratitis, is another condition that can trigger excessive tearing. Any irritation or injury to the cornea can cause the tear glands to overproduce tears as a protective mechanism.
If you’ve scratched your cornea, the symptoms are usually immediately apparent. Expect intense watery eyes, significant eye pain, and heightened sensitivity to light. You might also experience a gritty sensation, as if something is stuck in your eye, even when you close it. For minor corneal scratches, rinsing your eye with sterile saline solution can help. Blinking repeatedly or gently pulling your upper eyelid over your lower eyelid can also aid in dislodging any foreign material. However, it is always advisable to seek medical attention for a corneal scratch to prevent potential infections and ensure proper healing.
Seeking Professional Help for Watery Eyes
Persistent watery eyes can be a symptom of various underlying issues, from eyelid malfunctions to corneal problems. Understanding the potential causes and seeking timely medical advice is crucial for maintaining eye health and finding effective solutions. If you are consistently asking yourself, “why do my eyes always water?”, it’s time to consult an eye care professional for a comprehensive evaluation and personalized treatment plan.
