Surgical Treatment for Epiphora: Do not Overlook the Lacrimal Gland

Epiphora is a condition resulting from Hyper-secretion of Tears (HT) from the lacrimal gland, eyelid malposition, obstruction or absence of lacrimal ducts and treatment will vary according to the etiology. This article describes the author’s results of a Partial Ablation of the Orbital Portion of the lacrimal gland (PAOP) under local anesthesia. Twelve adult patients, six diagnosed with HT and six with a previous dacryocystectomy, underwent surgery performed by a single surgeon in his office setting between the years 2011-2017. The average follow-up lasted 14 months, ranging from six months to three years. All patients fully recovered without any other medical or surgical intervention. Two patients experienced dry eye symptoms during the first three months after surgery but experienced relief with ocular lubricants.