Lacrimation refers to watering of the eye due to excessive tear production from the lacrimal gland, while epiphora is watering caused by obstruction of the tear drainage system. Differentiating the two is important to provide proper treatment. The document discusses the anatomy and physiology of tear production, drainage, and evaluates causes of watering eye including lacrimation, dry eye, blepharitis, and epiphora due to punctal stenosis or nasolacrimal duct obstruction. Treatment depends on the underlying cause and may include punctal dilation, dacryocystorhinostomy, Jones tube insertion, or endoscopic lacrimal surgery.