Evaluation of an adult patient with watering eye Pseudoepiphora:epiblepharon,distichiasis,trichiasis, glaucoma... The lacus is dry and syringing is patent. Lacrimation secondary to corneal disorders or conjunctivitis is obvious due to associated symptomatology or on examination.Two conditions which can be mistaken for true epiphora are dry eye syndrome and blepharitis. Dry eye:Dry eye secondary to deficiency of mucous or meibomian secretions can have paradoxical watering.A diagnosis is usually based on reduced lower tear meniscus,and increased debris in tear film on slit-lamp examination.Increased tear break-up time (BUT)and reduced Schirmer's strip wetting corroborate the diagnosis. Evaluation of an adult patient with watering eye • Pseudoepiphora: epiblepharon, distichiasis, trichiasis, glaucoma… The lacus is dry and syringing is patent. • Lacrimation secondary to corneal disorders or conjunctivitis is obvious due to associated symptomatology or on examination. Two conditions which can be mistaken for true epiphora are dry eye syndrome and blepharitis. • Dry eye: Dry eye secondary to deficiency of mucous or meibomian secretions can have paradoxical watering. A diagnosis is usually based on reduced lower tear meniscus, and increased debris in tear film on slit-lamp examination. Increased tear break-up time (BUT) and reduced Schirmer's strip wetting corroborate the diagnosis