Watery Eye After Bell's Palsy?

Question

After suffering from Bell's Palsy many years ago my right eye waters quite frequently. A doctor at the local hospital cleared out my tear duct but this had no effect. He stated that it was most likely the result of weaker muscles on the side of my face that I had the Palsy. Is there any treatment such as Botox or laser surgery etc that may reduce this watering?

Jeff Markey, MD, FACS · Answer

Excessive tearing following Bells Palsy can occur because of multiple reasons: the lacrimal gland may be producing a higher volume of tears because of the prior nerve injury, the eyelids may have too much laxity because of the paralysis and allow the tears to pool in the eye, or the ducts may not rid the eye of the tears properly. Visiting an oculoplastic or Facial plastic surgeon may be helpful in identifying if the cause is the first or second issue. If the first, Botox may be administered to the gland. If the second, a surgical procedure performed in clinic may alleviate the pooping of tears.

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