Baltimore Doctor on Saggy Eyelids & Tearing

Baltimore Washington Eye Center, Maryland

Tuesday, August 28, 2012

Baltimore Doctor on Saggy Eyelids & Tearing

Baltimore Washington Eye Center doctor Arturo Betancourt, M.D. commented on saggy eyelids as a common cause of tearing. “As we age, gravity likes to play tricks on our body. How many times we look in the mirror, and notice how things have gone "south”, commented Dr. Betancourt.  “That firm skin, is no longer where we remembered it, it has sagged. A very common area where this occurs is the lower lid.  As the lower lid sags, the puncta or drainage channel located in the lower eyelid loses its position,” he further explained.  Tears are a combination of an aqueous, mucin and lipid component that mixes to form the tear film. It mainly arises from the lacrimal gland, located superior and lateral to the eye. As the tear is milked by our blink and gravity, it is pushed to the puncta.  We have two puncta per eye, one in the upper and another in the lower lid, located adjacent to the nose.  Usually one working puncta is sufficient to avert tearing. “But when the lower lid is saggy, in addition to a small channel formed between the lid and the globe, the puncta loses its position. This combination of pooling tears that have no drainage channel will cause tears to overflow, onto our cheek,” Dr. Betancourt noted.

When tears are rolling down our cheeks, our reflex is to rub.  This rubbing causes further stretching and sagging-making symptoms worse.  If this condition is bothersome to the patient, the lower lid can be tightened surgically.  This is done as an outpatient procedure under intravenous and local anesthesia.  There is no real downtime and the patient can return to most normal activities the next day.

Guest Blogger: Arturo E Betancourt M.D., F.A.C.S., Ophthalmologist & Medical Director-Baltimore Washington Eye Center

If you or someone you know suffers saggy eyelids and tearing problems they are encouraged to schedule an eye examination at Baltimore Washington Eye Center by calling 800-495-3937, visiting Baltimore Washington Eye Center or, so that we can help identify the possible causes and recommend an appropriate treatment plan.

Baltimore Washington Eye Center is a leading eye care practice serving the greater Baltimore and Washington, D.C. area staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, diagnosis and treatment of cataracts including cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease, care for diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear  and optical services. Baltimore Washington Eye Center is conveniently located for patients from Arbutus, Carney, Clarksville, Columbia, Dundalk, Edgemere, Essex, Ellicott City, Ferndale, Glen Burnie, Kenwood, Laurel, Linthicum, Lutherville, Millersville, Odenton Owings Mills, Reisterstown, Towson, Parkville, Randallstown, Rivera Beach, Pasadena, Severna Park, South Gate and Woodlawn Maryland.