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Tears are a clear liquid secreted by the (tear gland) found in the of all . Tears are made up of water, electrolytes, proteins, lipids, and mucins that form layers on the surface of eyes. The different types of tears—basal, reflex, and emotional—vary significantly in composition. The functions of tears include lubricating the eyes (basal tears), removing irritants (reflex tears), and also aiding the . Tears also occur as a part of the body's natural pain response. Emotional secretion of tears may serve a biological function by excreting stress-inducing hormones built up through times of emotional distress. Tears have .


Physiology

Chemical composition
Tears are made up of three layers: lipid, aqueous, and mucous. Tears are composed of , salts, , and (antibacterial enzymes); though composition varies among different tear types. The composition of tears caused by an emotional reaction differs from that of tears as a reaction to irritants, such as onion fumes, dust, or allergens. Emotional tears contain higher concentrations of stress hormones such as adrenocorticotropic hormone and (a natural pain killer), which suggests that emotional tears play a biological role in balancing stress hormone levels.
Lipid layer (or tarsal glands)Coats the aqueous layer, provides a barrier that envelops tears and prevents their spilling onto the cheek. These glands are located among the tarsal plates, and thus deposit the tear fluid between the eye proper and the oil barriers of the lids."eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009
Aqueous layer, 60 metabolites—amino acids (1-Methylhistidine/3-Methylhistidine, arginine, Asymmetric, asymmetric dimethylarginine/symmetric dimethylarginine, citrulline, creatine, glutamine, homoarginine, hydroxyproline, phenylalanine, proline, pyroglutamic acid, serine, taurine, theonine, tryptophan, tyrosine, urocanic acid, Valme), amino alcohols (panthenol), amino ketones (allantoin, creatine), aromatic acids (cinnamic acid, o-Coumaric acid/m-Coumaric acid/p-Coumaric acid), carbohydrates (N-Acetylneuraminic acid), carnitines (acetylcarnitine, carnitine, hexanoylcarnitine, palmitoylcarnitine), cyclic amines (Niacinamide), dicarboxylic acids (fumaric acid/Maleic acid), Nucleosides (1-Methyladenosine, adenosine, cytidine, guanosine, inosine, S-Adenosyl-homocysteine, S-Adenosylmethionine, uridine, and ), nucleotides (ADP, AMO, CMP, Cytidine diphosphate choline, GMP, IMP, UDP, UMP, UDP-N-acetylgalactosamine/UDP-N-acetylglucosamine), peptides (Oxidized glutathione), phospholipids (1-Palmitoyl-lysophosphatidylcholine), purines and derivatives (Hypoxanthine, Theobromine, uric acid, xanthine), purines and derivatives (4-Pyridoxic acid), Quaternary Amines (Acetylcholine, Glycerophosphocholine, phosphocholine), and Tricarboxylic Acids (citric acid), and other substances such as proteins (e.g., , , , , and )Promotes spreading of the tear film, the control of infectious agents, and osmotic regulation.
Mucous layerConjunctival Coats the , provides a hydrophilic layer and allows for even distribution of the tear film.


Drainage of tear film
The secrete lacrimal fluid, which flows through the main excretory ducts into the space between the eyeball and the lids. When the eyes blink, the lacrimal fluid is spread across the surface of the eye. Lacrimal fluid gathers in the which is found in the medial part of the eye. The lacrimal papilla is an elevation in the inner side of the eyelid, at the edge of the lacrimal lake. The lacrimal canaliculi open into the papilla. The opening of each canaliculus is the lacrimal punctum. From the punctum, tears will enter the , then on to the nasolacrimal duct, and finally into the . An excess of tears, as caused by strong , can cause the nose to run. Quality of vision is affected by the stability of the tear film.


Types
There are three basic types of tears: basal, reflex and emotional.
Basal tearsIn healthy eyes, the is continually kept wet and nourished by basal tears. They lubricate the eye and help keep it clear of . Tear fluid contains water, , , , , , , , , , , and . Some of the substances in lacrimal fluid (such as lysozyme) fight against as a part of the . Lysozyme does this by dissolving a layer in the outer coating, called peptidoglycan, of certain bacteria. It is a typical body fluid with salt content similar to blood plasma. Usually, in a 24-hour period, 0.75 to 1.1 grams (0.03–0.04-ounce avoirdupois) of tears are secreted; this rate slows with age.
Reflex tearsThe second type of tears results from irritation of the eye by foreign particles, or from the presence of irritant substances such as vapors, and other fragrances, , or in the eye's environment, including the cornea, conjunctiva, or nasal mucosa, which trigger in the . It can also occur with bright light and hot or peppery stimuli to the tongue and mouth. It is also linked with vomiting, coughing, and yawning. These reflex tears attempt to wash out irritants that may have come into contact with the eye.
Emotional tears (psychic tears)The third category, in general, referred to as crying or weeping, is increased tearing due to strong , pleasure, , , , or . This practice is not restricted to negative emotions; many people cry when extremely happy, such as times of intense humor and laughter. In humans, emotional tears can be accompanied by reddening of the face and sobbing—cough-like, convulsive breathing, sometimes involving spasms of the whole upper body. Tears brought about by emotions have a different chemical makeup than those for lubrication; emotional tears contain more of the protein-based hormones , adrenocorticotropic hormone, and (a natural painkiller) than basal or reflex tears. The is involved in the production of basic emotional drives, such as anger, fear, etc. The limbic system, or, more specifically the hypothalamus, also has a degree of control over the autonomic system. The branch of the autonomic nervous system controls the lacrimal glands via the neurotransmitter through both the and receptors. When these receptors are activated, the lacrimal gland is stimulated to produce tears.Skorucak A. "The Science of Tears." ScienceIQ.com. Accessed September 29, 2006.


Nictitating membrane
Some mammals, such as , , , and , have a full translucent third eyelid called a nictitating membrane, while others have a nictitating membrane. The membrane works to protect and moisten the eyelid while maintaining visibility. It also contributes to the aqueous portion of the tear film and possibly immunoglobulins. Humans and some primates have a much smaller nictitating membrane; this may be because they do not capture prey or root vegetation with their teeth, so that there is no evolutionary advantage of the third eyelid.


Neurology
The V1 (fifth cranial) nerve bears the sensory pathway of the tear reflexes. When the trigeminal nerve is cut, tears from reflexes will stop, while emotional tears will not. The great (superficial) petrosal nerve from cranial nerve VII provides autonomic innervation to the lacrimal gland. It is responsible for the production of much of the aqueous portion of the tear film.


Human culture
In nearly all human cultures, is associated with tears, active tear ducts and abrupt strong respiration, due to strong emotional impetuses. Triggers of crying can vary from sadness and to intense anger, happiness, fear, mirth, , confusion, and any form of overwhelming stimuli. Emotional tears can also be triggered by social and personal experiences, like listening to music, reading social media content, sharing thoughts, and communicating.

Crying is often associated with babies and children. The infants that are unable to vocally communicate have many alternating tones in their crying, attracting the attention of the caregiver and specifically their biological mothers.Carollo A, Montefalcone P, Bornstein MH, Esposito G. A Scientometric Review of Infant Cry and Caregiver Responsiveness: Literature Trends and Research Gaps over 60 Years of Developmental Study. Children (Basel). 2023 Jun 10;10(6):1042. doi: 10.3390/children10061042. PMID: 37371273; PMCID: PMC10297674. Blood-related mothers goes through physiological changes upon exposure to the crying, with acceleration in muscles and decrease in heart rate, as well as understanding the vocalizations of the baby's crying. This is a mother-specific case, as the other caregivers, like biological father or adoptive parents, are not able to decode the sound.

Some cultures consider crying to be undignified and infantile, casting aspersions on those who cry in public settings, excluding circumstances which concerns loss of a relative or a loved one. In most Western cultures, it is more socially acceptable for women and children to cry than men, reflecting masculine sex-role stereotypes. In some Latin regions, crying among men is more acceptable. There is evidence for an interpersonal function of crying as tears express a need for help and foster willingness to help in an observer.

Some modern movements such as Re-evaluation Counseling encourage crying as beneficial to health and mental well-being. An insincere display of grief or dishonest remorse is sometimes called in reference to an Ancient Greek anecdote that crocodiles would pretend to weep while luring or devouring their prey. In addition, "crocodile tears syndrome" is a colloquialism for Bogorad's syndrome, an uncommon consequence of recovery from Bell's palsy in which faulty regeneration of the facial nerve causes people to shed tears while eating.


Pathology

Bogorad's syndrome
Bogorad's syndrome, also known as "Crocodile Tears Syndrome", is an uncommon consequence of nerve regeneration subsequent to Bell's palsy or other damage to the . Efferent fibers from the superior salivary nucleus become improperly connected to nerve axons projecting to the , causing one to shed tears () on the side of the palsy during salivation while smelling foods or eating. It is presumed that this would cause salivation while crying due to the inverse improper connection of the lacrimal nucleus to the salivary glands, but this would be less noticeable. The condition was first described in 1926 by its namesake, Russian neuropathologist F. A. Bogorad, in an article titled "Syndrome of the Crocodile Tears" (alternatively, "The Symptom of the Crocodile Tears") that argued the tears were caused by the act of salivation.F. A. Bogorad (trans Austin Seckersen), "The symptom of crocodile tears", Journal of the History of Medicine and Allied Sciences, 02/1979; 34(1):74-9.Lester Allen Russin, "Paroxysmal Lacrimation During Eating as a Sequal of Facial Palysyndrome of Crocodile Tears", JAMA. 1939;113(26):2310-2311.


Keratoconjunctivitis sicca (dry eye)
Keratoconjunctivitis sicca, known in the vernacular as dry eye, is a very common disorder of the tear film. Despite the eyes being dry, those affected can still experience watering of the eyes, which is, in fact, a response to irritation caused by the original tear film deficiency. Lack of Meibomian gland secretion can mean that the tears are not enveloped in a hydrophobic film coat, leading to tears spilling onto the face.

Treatment for dry eyes to compensate for the loss of tear film include eye-drops composed of methyl cellulose or carboxy- methyl cellulose or hemi-cellulose in strengths of either 0.5% or 1% depending upon the severity of drying up of the cornea.


Familial dysautonomia
Familial dysautonomia is a genetic condition that can be associated with a lack of overflow tears () during emotional crying.

Obstruction of the , nasolacrimal canal, or nasolacrimal duct can cause even normal levels of the basal tear to overflow onto the face (Epiphora), giving the appearance of constant psychic tearing. This can have significant social consequences.


Pseudobulbar affect
Pseudobulbar affect (PBA) is a condition involving episodic uncontrollable laughter or crying. PBA mostly occurs in people with neurological injuries affecting how the brain controls emotions. Scientists believe PBA results from prefrontal cortex damage. PBA often involves crying. Hence, PBA is mistakable for depression. But PBA is neurological; depression is psychological. Patients with PBA do not experience typical depression symptoms like sleep disturbances or appetite loss.


See also


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