Evaluation of an adult patient with watering eye Blepharitis:thickened,hyperaemic lid margins with scales deposited on the lashes,blocked meibomian openings,excessive abnormal meibomian secretions, and frothy discharge on the lid margins. True epiphora:secondary to either an anatomical obstruction or functional deficiency like ectropion or lacrimal pump failure-differentiated on the basis of syringing.Evaluation of an adult patient with watering eye • Blepharitis: thickened, hyperaemic lid margins with scales deposited on the lashes, blocked meibomian openings, excessive abnormal meibomian secretions, and frothy discharge on the lid margins. • True epiphora: secondary to either an anatomical obstruction or functional deficiency like ectropion or lacrimal pump failure – differentiated on the basis of syringing