Hemolacria: Case report

Özcan, Kürşat Murat; Özdaş, Talih; Baran, Hacer; Özdoğan, Fatih; Dere, Hüseyin

doi:10.1016/j.ijporl.2012.09.020

Cited by 24 publications

(15 citation statements)

References 4 publications

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“…Hoet al 3 reported 4 cases of idiopathic haemolacria after normal conjunctival biopsy, imaging studies of nasolacrimal system irrigation, blood and coagulation profile, and serum hormone levels. Ozcanet al 5 presented a patient with haemolacria accompanied by epistaxis of unknown etiology. Kırboğaet al 1 reported a 14 year old girl presented with idiopathic haemolacria.…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic Haemolacria in a 9 Year Old Girl

Mia

Sharmin

Islam

2019

TAJ: J of Teachers Assoc

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Haemolacria or bloody tears is a rare clinical condition caused by various ocular and systemic conditions; some cases may be drug-induced and some are idiopathic. We are reporting a case admitted with recurrent bilateral idiopathic haemolacria. A 9-year old girl was admitted in our hospital with complaints of recurrent spontaneous bloody tears from both eyes for 1 month. There were no other bleeding manifestations. Blood stained discharge from punctum was not observed during compression of either nasolacrimal duct. Psychiatric assessment and ENT examination were normal. Further evaluations for underlying causes were unremarkable. There was no abnormality on the ophthalmological and radiological investigations. The patient was diagnosed as a case of idiopathic haemolacria. Patients presenting with complaints of bloody tears should be evaluated with a detailed history focusing on etiologic factors, ocular examination, and nasal and paranasal examination. TAJ 2018; 31(1): 70-72

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Section: Discussionmentioning

confidence: 99%

“…Additionally, idiopathic haemolacria has been reported. 3,5,6 We report this case to represent how to approach a patient presenting with haemolacria considering the literature.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Haemolacria in a 9 Year Old Girl

Mia

Sharmin

Islam

2019

TAJ: J of Teachers Assoc

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“…Cases of haemolacria secondary to other ENT causes has also been found in literature which include nasal and paranasal tumours. Ozcan KM reported an 11 years old paediatric patient with the complaints of bilateral haemolacria along with recurrent epistaxis where examination revealed a right side deviated nasal septum and increased hyperemic vascularity in the nasal mucosa, other ENT examinations were normal 3 . A case of haemolacria and epistaxis secondary to hyperthyroidism has been reported by Jason et al where local pathology and coagulopathy have been excluded by examination.…”

Section: Discussionmentioning

confidence: 99%

Dissociative Disorders with Haemolacria: Series of Case Reports

Rahman

Karim

Islam³

et al. 2017

J. Bangladesh Coll. Phys.

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Bloody tears (Haemolacria) are a rare symptom that can be caused by local or systemic pathology. It is one of the most alarming symptom in ophthalmology. Besides those, idiopathic cases have been reported. A case of hyperthyroidism where haemolacria was secondary to the condition has also been reported. Haemolacria are also reported as secondary to epistaxis. Psychogenic causes are described including Munchausen Syndrome by proxy. Here we describe a series of four cases of haemolacria along with bleeding from other sites, found as associated features of dissociative disorders. In this series, patients with age ranging from 14-17 years, three of them are female and one male have been included. Examination excluded local ocular and nasal pathology, coagulopathy and hyperthyroidism. In course of their illness, two of these cases met the DSM 5 criteria for both dissociative disorders and conversion disorders, rest of them have been diagnosed as mixed dissociative disorders. After appropriate intervention, three patients recovered completely and in one patient symptoms (also bleeding) recurred on re-exposure to the previous stress factors.We report three cases of Dissociative disorders and one with both dissociative and conversion disorder where bloody tears were one of the feature. To the best of our knowledge this is the first official report of its kind in Bangladesh. (J Bangladesh Coll

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“…Before labelling it as idiopathic, it needs thorough clinical, imaging and laboratory evaluation. The possible causes for haemolacria after reviewing the literature include trauma, vascular tumours of the ocular surface, lacrimal system disease, retrograde epistaxis, bleeding disorders, endometriosis, psychogenic causes and medications 1 2Learning points

Idiopathic bilateral haemolacria is rarely seen in clinical practice.

In such scenario, patients need to be examined and evaluated thoroughly to look for underlying cause and treat accordingly.

In cases where no definite organic or psychiatric cause can be identified, observation is required.

…”

Section: Discussionmentioning

confidence: 99%