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Case Report: Crying Blood.

Oluwatobi O Idowu1, Georgia Kaidonis1, Sameera Husain2

  • 1Department of Ophthalmology, University of California, San Francisco, San Francisco, California.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|February 26, 2021
PubMed
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This summary is machine-generated.

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Bloody tears (hemolacria) can signal hidden eye conditions. This case highlights pyogenic granuloma as a cause, emphasizing thorough eyelid examination for diagnosis.

Area of Science:

  • Ophthalmology
  • Oculoplastics
  • Pathology

Background:

  • Hemolacria, or bloody tears, is a rare condition with diverse causes.
  • Prompt diagnosis and management are crucial for effective treatment.

Observation:

  • A 21-year-old female contact lens wearer experienced recurrent unilateral bloody tears.
  • Examination revealed a pyogenic granuloma on the palpebral conjunctiva of the upper eyelid.

Findings:

  • Surgical excision confirmed the diagnosis of pyogenic granuloma.
  • This conjunctival lesion was the source of the hemolacria.

Implications:

  • Unilateral hemolacria warrants investigation for occult conjunctival lesions like pyogenic granuloma.

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  • Eyelid eversion is critical for identifying such hidden causes of bloody tears.