A simple method for relieving epiphora is the attachment of an absorbent sponge to the patient's glasses so that it lightly touches the inner canthus. This should be beneficial for any type of tearing except in those cases which are due to inflammation. In patients with "crocodile tears," facial palsy, or contracture of the lacrimal punctum a sponge may be useful.
An interesting circumstance occurred in one patient with chronic epiphora who noticed that before use of the sponge her eyelids and conjunctivae were irritated from constant rubbing with a handkerchief. Use of the sponge allowed the irritation to subside, and there was less tear production than before.
A small wire loop can be used to hold the sponge, and this is then bradded or soldered to the glasses just behind the nose piece.* Any optician can attach the loop in a few minutes. Figures 1, 2 and 3 demonstrate
MANCHESTER PT. Sponge Attachment for Epiphora. AMA Arch Ophthalmol. 1957;57(5):739. doi:10.1001/archopht.1957.00930050751015
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