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Epiphora is overflow of tears onto cheek; reflex (irritation/dry eye) vs obstruction (nasolacrimal duct); common in older/dacryocystitis.
Tears overflow onto cheek; unilateral/bilateral; crusting; recurrent; older; dacryocystitis if infected
Reflex hypersecretion; eyelid malposition; nasolacrimal duct obstruction; age.
Diagnose cause; treat lid malposition; dacryocystorhinostomy (DCR) for obstruction; irrigation
Ophthalmology / oculoplastics.
Warm reminder: Health education reference only; seek care at regular hospital.
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