Idiopathic bilateral haemolacria

Pujari, Amar; Bajaj, Mandeep S

doi:10.1136/bcr-2016-218342

Cited by 8 publications

(5 citation statements)

References 2 publications

(2 reference statements)

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“…Her nasolacrimal passage was fine and no pathology was found on radiological imaging. 17 15/F -3 months -2016 Pujari et al 12 16/F -1 month None/decrease in episodes over 6 months 2016 Sobol et al 18 11/F -3 days None/decrease in frequency over 14 months 2016 Palali et al 19 14/F -8 months None/reduced frequency over 1 year 2017 Bakhurji et al 4 4 months/F Yellowish discharge, flu-like illness 3 days Fusidic acid 1% eye drops/ resolved over 3-4 days 2018 James et al 20 22/M -2 episodes None/-2019 Acherjya et al 11 17/F Gum bleeding, twitching movement of body, shortness of breath Haemolacria after a scleral buckle infection and after a Lefort 1 surgery has also been reported. 8,9 However, our patient did not have any history of surgery in the past.…”

Section: Discussionmentioning

confidence: 99%

“…After performing an extensive search of the literature, we were able to find 23 cases of idiopathic bilateral hemolacria. 3–6,11,12 The median age of onset is 12 years. The duration of symptoms were in the range of one day to five years and was accompanied by epistaxis most commonly; other associated symptoms were giddiness, headache, yellowish discharge from the eyes, fever, twitching of the extremities, haematohidrosis and menorrhagia.…”

Section: Discussionmentioning

confidence: 99%

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Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

et al. 2020

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Haemolacria is a rare condition that usually occurs secondary to a hidden pathology. On rare occasions when no underlying cause may be found, it is called essential idiopathic haemolacria. Here the authors report a case of a 13-year-old girl presented to the ophthalmology emergency department with spontaneous bloody tears from both eyes for the past six months. There was associated bleeding from the ear. The rest of the systemic and ophthalmology examinations were within normal limits. She was investigated systemically to look for any underlying pathology; however, her blood investigations, radiological imaging and local examinations performed by the Otorhinolaryngology, Ophthalmology, Gynaecology and Internal Medicine departments were all normal. A final diagnosis of bilateral essential haemolacria was made.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

et al. 2020

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“…Other causes include capillary haemangioma, conjunctival telangiectasia, retrograde epistaxis and nasal and paranasal neoplasms. [ 2 ] Literature review revealed many case reports with undetermined source of haemlacria[ 3 4 ] and a female preponderance. [ 5 6 7 8 ] A few patients with undetermined source of haemlacria have been diagnosed with Munchausen syndrome,[ 8 ] whereas nasolacrimal endometriosis has been implicated in a few studies.…”

Section: Discussionmentioning

confidence: 99%

Haemlacria

Ambasta

Kusumesh

Kumari

et al. 2021

Journal of Family Medicine and Primary Care

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Haemlacria is a rare condition which is not widely mentioned in literature. In this mini case series, we describe two cases with this presentation. Both the patients were women with unilateral presentation of haemlacria in the right eye. Case one was diagnosed with photosensitivity, while case two was assumed to be due to an undiagnosed systemic illness which led to her mortality. Careful history, systemic examination, slit- lamp biomicroscopy, fundus examination, relevant haematological tests like coagulation profile, liver function test along with nasolacrimal duct probing with syringing and appropriate imaging may be needed to arrive at a diagno sis. Though many cases are idiopathic yet this can be a sign of an underlying life-threatening disease.

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“…The literature review revealed that only 10 case reports and case series have been identified reporting 15 cases with undetermined source of haemolacria that has been investigated thoroughly 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. The criteria of these cases in addition to our case are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

A healthy infant with bloody tears: Case report and mini-review of the literature

Bakhurji

Yassin

Abdulhameed

2018

Saudi Journal of Ophthalmology

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A 4-month old healthy infant was brought by her parents to the emergency department with bloody tears of three days duration. There was also intermittent yellowish discharge since birth and a history of flu-like symptoms a week prior to presentation. Extensive investigations revealed no infection or other possible etiologies. The patient was treated with antibiotic eye drops and her condition resolved within a three-four days. In the literature, 15 cases with haemolacria of undermined source were reviewed; the median age of onset (12 years), bilateral involvement and female gender were more commonly encountered, and the most common associated illnesses were headache and epistaxis. The condition is self-limiting and spontaneous resolution is seen in majority of cases. Idiopathic haemolacria is a rare condition that can be presumed in patients presenting with bloody tears when all work-up turns to be negative. The condition is self-limiting with spontaneous resolution.

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Idiopathic bilateral haemolacria

Cited by 8 publications

References 2 publications

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

Haemlacria

A healthy infant with bloody tears: Case report and mini-review of the literature

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