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Tuesday, December 23, 2008 jj asks

Q: My right eye is continually tearing after completing chemotherapy. What are my options?

My eye doctor said the only way to unblock my tear duct is to drill a hole in my nose to redirect my tears.  Is there a non- invasive option?  

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Answers (5)
Phyllis Johnson, Health Guide
12/24/08 6:40am

I had the same problem, and I've had it since chemo as well.  It might be a blocked tear duct.  If the tears can't exit via the tear duct, they overflow.  My doctor also mentioned the surgery thing, but she said to first try gentle massage.  She showed me how to run my fingers from the inside edge of my eye down along side my nose.  Don't press too hard; you just want to move those tears down the duct that runs along the side of your nose.  The massage worked for me.  I did it several times a day for a few days, and I was fine.  Before she showed me that trick, I thought I just had to put up with it as one more chemo side effect.

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12/23/08 11:59pm

Are you sure it isn't an infection? I had this same problem during chemo. Since your immune system is low you are more prone to infections. Have you told your Oncologist about this? If not you should. I had to use drops in my eye off and on for a few months.

 

Good luck

Katherine

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PJ Hamel, Health Guide
12/24/08 11:19am

Good advice. I had this problem, too, so it's not uncommon. Just to let you know, it does abate after chemo is over. I don't think you want a hole drilled your head - I think I'd rather wait it out! Good luck - PJH

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2/26/09 11:41am

Hi,

One of the ocular side effects of systemic chemotherapy includes excessive lacrimation due to stricture and fibrosis of the tear ducts, usually one side more than the other.

 

After chemo is finished and lacrimation persists, ask your medical doctor to try intubation of the tear ducts with silastic tubes, otherwise the last resource is an endoscopic bypass surgery done through the nose to redirect the tears.

 

I would suggest a consultation with an Oculoplastic Surgeon.

Respectfully,

 

Luis W. Lu, MD, FACS

Senior Member,

Pennsylvania Eye Consultants

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3/23/09 2:01pm

Notwithstanding an eye infection, my 4th session of chemo caused my both eyes to tear constantly, I would awake with my eyes sealed closed, and had to moisten with a warm cloth.  What was the cause....TAXOLTERE (DOCETAXEL) was a chemo regiment that was the culprit...a visit to an Optomologist Doctor cleared the way for me, within two months my system was back to normal.  Time is the best cure, no meds, no treatment...some cases may have a scloersoing of the tear duck, but minor procedure would clear out the tear duct...no drilling please.  Hope all goes well for you and back to living in full recovery.   

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By jj— Last Modified: 12/24/10, First Published: 12/23/08