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Ocular vicarious menstruation.

M Barat1, S A Kwedar

  • 1Department of Surgery, Southern Illinois University School of Medicine, Springfield.

Journal of Pediatric Ophthalmology and Strabismus
|September 1, 1988
PubMed
Summary
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Vicarious menstruation is cyclical bleeding in organs outside the uterus. This case report details ocular vicarious menstruation, or bloody tears, in a teenage girl, discussing its rare occurrence and management.

Area of Science:

  • Gynecology
  • Ophthalmology
  • Endocrinology

Background:

  • Vicarious menstruation is a rare condition involving cyclical bleeding from extragenital sites synchronized with the menstrual cycle.
  • It is often associated with hormonal fluctuations during menstruation.
  • Ocular involvement, manifesting as bloody tears, is exceptionally uncommon.

Observation:

  • A 17-year-old female presented with cyclical, blood-tinged tearing from her eyes.
  • The ocular bleeding coincided with her regular menstrual periods.
  • No other source of bleeding was identified.

Findings:

  • The patient was diagnosed with ocular vicarious menstruation, a rare variant of vicarious menstruation.
  • Endocrine and gynecological evaluations confirmed normal hormonal profiles and reproductive health.

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  • Ocular examination revealed cyclical hemorrhage from conjunctival vessels.

    • Implications:

    • This case highlights the importance of considering rare gynecological and endocrine conditions in ophthalmological presentations.
    • Understanding the pathophysiology of vicarious menstruation is crucial for accurate diagnosis and management.
    • Further research into the hormonal and vascular mechanisms underlying this phenomenon is warranted.