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We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service (PALS): Freephone (City Hospital Campus): 0800 052 1195 Freephone (QMC Campus): 0800 183 0204 From a mobile or abroad: 0115 924 9924 ext 65412 or 62301 Minicom: 0800 183 0204 E-mail: pals@nuh.nhs.uk Letter: NUH NHS Trust, c/o PALS, Freepost NEA 14614, Nottingham NG7 1BR www.nuh.nhs.uk

Epiphora – Watery Eyes
Information for patients Orthoptic Department

This document can be provided in different languages and formats. For more information please contact: Orthoptic Department Queen’s Medical Centre Campus Tel: 0115 970 9750

The Trust endeavours to ensure that the information given here is accurate and impartial.
Nicola Akerman, Orthoptics Department © October 2011. All rights reserved. Nottingham University Hospitals NHS Trust. Review October 2013. Ref: 0766/v2/1011/JA.

then the tears flow out of the eye onto the face. What causes Epiphora? It is caused by a blockage of the tear duct (the tube that carries tears from the eyes down to the nose). then a course of antibiotic eye drops from your GP may be required. Why do I have to wait until my child is over one year old? The majority of cases get better by themselves as the duct opens and require no further treatment. is there an infection? Mucus from the duct may appear in the eye and is not a sign of infection. Any questions? If you have any queries or wish to rearrange your appointment please contact the Orthoptic Department on 0115 970 9750. Wipe from the inner corner of the eye (near the nose) to the outer corner.Aim of the leaflet This leaflet is aimed at parents and carers of patients with epiphora (watery eyes) and explains the cause and treatment of epiphora in children under one year of age. wash your hands. My child’s eyes appear sticky. This can be cleaned away with cotton wool and cooled boiled water. Introduction Your child has been diagnosed with a condition called Epiphora (watery eyes). How will I know if there is an infection? If there is a green/yellow discharge that appears throughout the day (not just in the morning on waking) and the white of the eye appears red. This should be performed several times a day (at every nappy change or feed) for 2-3 months. How is Epiphora treated? Regular massage of the tear duct will help release the blockage. This is a condition that affects 5-6% of babies and many cases improve within the first year of life and require no further treatment after this age. Massage technique Before massaging the tear duct. . using each piece of cotton wool only once. What happens next if massage doesn’t help? If there seems to be no improvement by the time your child is one year old. Place your index finger on the side of the child’s nose and firmly massage down towards the corner of the eye. If this tube is blocked. then please see your GP and ask to be referred to a paediatric ophthalmologist who will review treatment options.