Epiphora is a condition in which the tears overflow over the edge of the lower eyelid due to impairment of drainage. This condition may also occur in patients with a patent lacrimal drainage system, which is called functional epiphora. Epiphora as a result of lacrimal drainage system injury usually develops due to lacerations of lacrimal canaliculi. Almost 70% of injuries occur in the upper part of the drainage system, while the remaining 30% of injuries cause trauma to the lower part of the drainage system. One should begin the evaluation of injuries by taking detailed medical history, followed by thorough ocular and nasal examination. Diagnostic probing and irrigation and fluorescein dye disappearance test (FDDT) are performed to asses patency of the lacrimal drainage system. Imaging techniques that are used are dacryocystography (DCG), multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI). Being that lacrimal drainage system injuries are often accompanied with trauma to the head, treatment of nasolacrimal injuries should be delayed until the condition of the patient is stabilised. Monocalicular silicone stents such as Mini MONOKA and MASTERKA or bicanalicular BIKA Crawford and Ritleng stents are used to reconstruct lacerated canaliculi. Treatment of the lower part of the lacrimal drainage system is challenging because of the changed bone anatomy of the nasolacrimal system and the presence of postoperative scarring and fibrosis. The gold standard surgical procedure is Totti's dacrocystrinostomy (DCR).