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Idiopathic bilateral bloody tearing
Emrullah Beyazyıldız1, Yasemin Özdamar2, Özlem Beyazyıldız1
1Department of Ophthalmology, Samsun Research and Training Hospital, Kıranköy Mevkii, İlkadım, 55100 Samsun, Turkey.
Case Reports in Ophthalmological Medicine
|February 17, 2015
Summary
This case study explores recurrent bloody tearing in a 16-year-old girl. Investigations revealed squamous cells and dysplasia, suggesting a rare idiopathic cause for this ophthalmologic phenomenon.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Bloody tearing, or hemolacria, is a rare clinical finding.
- Recurrent episodes of bloody tearing can significantly impact a patient's quality of life.
Purpose of the Study:
- To report a unique case of bilateral recurrent bloody tearing in a young female.
- To investigate the underlying etiology of idiopathic hemolacria.
Main Methods:
- Clinical presentation and history of a 16-year-old female with bilateral bloody tearing.
- Ophthalmologic examination, nasolacrimal duct patency assessment.
- Imaging studies including dacryocystography and MRI of the nasolacrimal canal.
- Intranasal endoscopic evaluation.
- Pathological examination of bloody tear samples.
Main Results:
- Bloody tearing was bilateral and recurrent over 3 months, not linked to menstruation.
- Nasolacrimal passage was patent, and imaging studies were normal.
- Pathological analysis revealed squamous cells and dysplasia, with no endometrial cells detected.
Conclusions:
- The case highlights a rare cause of idiopathic bloody tearing.
- Absence of endometrial cells suggests the condition is not directly related to menstruation.
- Further research is needed to understand this rare ophthalmologic phenomenon.
