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Hemolacria

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Atlas of Lacrimal Drainage Disorders
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Abstract

Hemolacria or bloody epiphora is known by several names, like bloody tears, dacryohemorrhea, hematic epiphora, hemolacrimia, hematodacryorrhea, and sanguineous lacrimation. It is a rare condition, but the symptoms of bloody tears can overwhelm the patient and the people around them. Several causes implicated in its etiology include trauma, conjunctival lesions, foreign body, ocular surface inflammation, lacrimal drainage tumors, vicarious menstruation, lacrimal duct varices, ocular infections, dacryoliths, Valsalva maneuvers, exanthematous fever, hematological disorders, systemic anticoagulants, exposure to organophosphates, severe coughing, and hypertensive crisis [1–5]. In several of the cases, it could remain idiopathic. Rarely has malingering been documented as a cause of hemolacria.

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Selective References

  1. Carrion-Alvarez D, Trejo-Castro AI, Salas-Garza M, Fajardo-Ramirez OR, Salas-Alanis JC. Hematohidrosis, hemolacria, and “trichorrhage”: a systematic review. Skin Appendage Disord. 2022;8(3):179–85.

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  2. Ali MJ, Gupta S. Endoscopic features of varices involving lacrimal sac and nasolacrimal duct. Ophthalmic Plast Reconstr Surg. 2018;34(5):e177.

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  3. Ali MJ, Naik MN. Dacryoendoscopy in a case of unexplained hemolacria. Ophthalmic Plast Reconstr Surg. 2018;34(6):e213.

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  4. Garcia GA, Bair H, Charlson ES, Egbert JE. Crying blood: association of valsalva and hemolacria. Orbit. 2021;40(3):266.

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  5. Singh S, Ali MJ. Primary malignant epithelial tumors of the lacrimal drainage system: a major review. Orbit. 2021;40(3):179–92.

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Correspondence to Mohammad Javed Ali .

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Ali, M.J. (2023). Hemolacria. In: Atlas of Lacrimal Drainage Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-99-1401-2_60-1

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  • DOI: https://doi.org/10.1007/978-981-99-1401-2_60-1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-1399-2

  • Online ISBN: 978-981-99-1401-2

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