Case Report: Crying Blood.

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  • Author(s): Idowu OO;Idowu OO; Kaidonis G; Kaidonis G; Husain S; Husain S; Winn BJ
  • Source:
    Optometry and vision science : official publication of the American Academy of Optometry [Optom Vis Sci] 2021 Mar 01; Vol. 98 (3), pp. 217-221.
  • Publication Type:
    Case Reports; Journal Article; Research Support, N.I.H., Extramural; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8904931 Publication Model: Print Cited Medium: Internet ISSN: 1538-9235 (Electronic) Linking ISSN: 10405488 NLM ISO Abbreviation: Optom Vis Sci Subsets: MEDLINE
    • Publication Information:
      Publication: Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: [Baltimore, MD] : Williams & Wilkins, c1989-
    • Subject Terms:
      Blood* ; Crying* ; Tears*; Conjunctival Diseases/*diagnosis ; Granuloma, Pyogenic/*diagnosis ; Lacrimal Apparatus Diseases/*diagnosis; Cautery ; Conjunctival Diseases/surgery ; Contact Lenses ; Female ; Granuloma, Pyogenic/surgery ; Humans ; Lacrimal Apparatus Diseases/etiology ; Young Adult
    • Abstract:
      Significance: Hemolacria (bloody tears) is a rare clinical presentation with varied underlying etiologies. Thorough clinical evaluation is essential to diagnosis and management.
      Purpose: This study aimed to report unilateral hemolacria in a known contact lens wearer with an occult, palpebral, conjunctival pyogenic granuloma and review the literature.
      Case Report: A 21-year-old female contact lens wearer presented to the clinic after three episodes of sudden painless bloody tears from the right eye. She was referred to the oculoplastic clinic for evaluation. On everting her right upper lid, a fleshy, nontender, ovoid, pedunculated mass was found attached to the palpebral conjunctiva of the right, nasal, upper tarsus. Surgical excision was performed in the office, and pathological examination of the lesion was consistent with pyogenic granuloma.
      Conclusions: Unilateral hemolacria should raise clinical suspicion for a hidden conjunctival lesion such as pyogenic granuloma, although other more sinister causes of hemolacria must also be considered. Thorough evaluation including eyelid eversion is critical in identifying and managing occult conjunctival lesions.
      Competing Interests: Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest.
      (Copyright © 2021 American Academy of Optometry.)
    • References:
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      DeMaria LN, Silverman NK, Shinder R. Ophthalmic Pyogenic Granulomas Treated with Topical Timolol—Clinical Features of 17 Cases. Ophthalmic Plast Reconstr Surg 2018;34:579–82.
    • Grant Information:
      P30 EY002162 United States EY NEI NIH HHS
    • Publication Date:
      Date Created: 20210226 Date Completed: 20210716 Latest Revision: 20230823
    • Publication Date:
      20240829
    • Accession Number:
      PMC8005461
    • Accession Number:
      10.1097/OPX.0000000000001653
    • Accession Number:
      33633021