Answer:

This patient was diagnosed with Dacryops, an inflammatory condition of the lacrimal gland that leads to occlusion of the six or seven ducts on the palpebral lobe of the lacrimal gland. A large "sac" of tears gradually grows until it ruptures spontaneously. This leads to the "gush" of tears reported by the patient in this case, which is classic in its presentation. The sac then reforms and gradually grows until rupture occurs once again. This cycle can go on for weeks or months.

This patient was treated in the normal manner. Surgery was performed in which the sac was opened with a small hole. The flaps created by the incision were then rolled into the sac itself and sutured in place, thereby giving the new opening a continuous mucous membrane lining. This helps prevent further occlusion and reoccurrence. This case is now eight months post-op and reoccurrence has not been noted.

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