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Blepharospasm is often associated with dry eyes, but the causal mechanism is still not clear. [16] [8] Research in New York and Italy suggests that increased blinking (which may be triggered by dry eyes) leads to blepharospasm. [24] [25] A case control study in China found that blepharospasm aggravated dry eyes. [26]
Causes of epiphora are any that cause either overproduction of tears or decreased drainage of tears, resulting in tearing onto the cheek. [2] This can be due to ocular irritation and inflammation (including trichiasis and entropion) or an obstructed tear outflow tract, which is divided according to its anatomical location (i.e., ectropion, punctal, canalicular or nasolacrimal duct obstruction).
With the eye generally profusely watering, the type of tears being produced have little adhesive property. Water or saline eye drops tend therefore to be ineffective. Rather a 'better quality' of tear is required with higher 'wetting ability' (i.e. greater amount of glycoproteins) and so artificial tears (e.g. viscotears) are applied frequently.
Lagophthalmos is the inability to close the eyelids completely. [1]Blinking covers the eye with a thin layer of tear fluid, thereby promoting a moist environment necessary for the cells of the exterior part of the eye.
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