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