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Haemolacria: A Novel Approach to Lesion Localization
Brian T Fowler1, Mark G Kosko1, Trey A Pegram1
1a Hamilton Eye Institute University of Tennessee Health Science Center , Memphis , Tennessee , USA and.
Orbit (Amsterdam, Netherlands)
|October 20, 2015
Summary
Punctal plugs offer a novel treatment for haemolacria (bloody tears), providing symptomatic relief and aiding in lesion localization. This approach proved effective in idiopathic cases, resolving symptoms in both eyes over time.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Haemolacria, characterized by bloody tears, can stem from various disorders.
- Idiopathic cases with undetermined etiology are rare but pose diagnostic challenges.
Observation:
- A retrospective case series involving two adolescent patients (16 and 20 years old) with spontaneous bloody tearing.
- Comprehensive workup, including nasolacrimal system evaluation, blood tests, and biopsy, yielded no specific cause.
Findings:
- Punctal plugs inserted into the inferior punctum of one eye (OS) provided immediate symptomatic relief in both patients.
- Complete cessation of haemolacria in both eyes was observed over time following punctal plug insertion.
Implications:
- Punctal plugs represent a novel therapeutic modality for managing haemolacria.
- This technique may offer symptomatic relief for lesions near or within the punctum.
- It also aids in the anatomic localization of lesions in idiopathic haemolacria cases.
