Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review. (April 2021)

• Record Type: Journal Article
• Authors: Agrawal, Sahil; T, Monikha; Das, Deepsekhar; Bajaj, Mandeep Singh; Modaboyina, Sujeeth; Modaboyina, Vidya
• Is Part Of: Tropical doctor. Volume 51:Number 2(2021)
• Page Start: 237
• Page End: 240
• Publication Date: 2021-04
• Subjects: Diagnosis -- ENT -- ear nose throat -- ocular -- physiology; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/0049475520961289
• Languages: English
• ISSNs: 0049-4755

Abstract

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.