A major review of viral lacrimal drainage infections

Viral lacrimal drainage infections are relatively uncommon but should be suspected in patients presenting with new onset epiphora in the context of recent viral infections. Of these, the majority are likely to be related to HSV followed by adenovirus, which seem to be associated with a higher risk of permanent epiphora from scarring, compared with VZV and EBV infections, where the symptoms may be more likely to resolve through conservative treatment alone.