### Patient: Hi doctor, I've been having a lot of trouble with my tear duct lately. It's been really painful and watery. What's going on?
### Doctor: Based on your symptoms, it is possible that you have stenosis of the tear duct. In order to confirm this diagnosis, we need to perform a complete physical skin exam, as well as an ophthalmic examination and evaluation. Depending on the severity of your condition, we may need to perform other OR therapeutic nervous system procedures or prescribe physical therapy exercises, manipulation, and other procedures.