Elderly female c/o Burning sensation and watering of Left eye.No triggering factors. K/c/o T2DM

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? CONJUNCTIVITIS.. ? DIABETIC EYE PATHOLOGY.. ? DRY EYE SYNDROME..
Elderly with burning and watering do Schirmer test for tear to weathe eyes are dry Usually patient complain of watering when we do Schirmer the turn out to be dry for this start preservative free lubricant drops
Epiphora The cause may be anywhere in lacrimal passages-punctum ,canaliculus, lacrimal sac, nasolacrimal duct and inferior meatus of nose
DIFFERENTIAL DIAGNOSIS Dey eye syndrome Chronic dacrocystitis Foreginbody
DD CHRONIC DACROCYSTITIS CANALICULITS CNJUCTIVAL CONCRETIONS
Epiphora dry eye syndrome conjunctivitis
Moxikind eye drop
May be dry eye