From the Research
Hemolacria, or bloody tears, is caused by various conditions, including eye injuries, infections, inflammatory conditions, and systemic disorders, with the most recent and highest quality study suggesting that it can be attributed to conditions such as uncontrolled hypertension, chronic renal failure, aggressive anticoagulant therapy, and diabetes 1.
Causes of Hemolacria
The causes of hemolacria can be categorized into several groups, including:
- Ocular conditions, such as conjunctivitis, dacryocystitis, and tumors of the lacrimal apparatus
- Systemic conditions, such as blood disorders, severe hypertension, and certain medications that affect blood clotting
- Trauma, including eye injuries and nosebleeds
- Inflammatory conditions, such as capillary hemangioma and conjunctival telangiectasia
- Idiopathic causes, where no underlying condition can be identified 2
Diagnosis and Treatment
Diagnosis of hemolacria involves a thorough medical evaluation to determine the underlying cause, which may include laboratory tests, imaging studies, and a detailed medical history 3.
Management
Treatment of hemolacria depends on identifying and addressing the underlying cause, which may involve antibiotics for infections, anti-inflammatory medications for inflammatory conditions, or specific treatments for systemic disorders 1. In some cases, conservative treatment with high-dose oral vitamin C, prophylactic iron therapy, and psychological support may be effective in managing symptoms 2. It is essential to note that hemolacria is typically a symptom rather than a disease itself, and proper medical evaluation is crucial to determine the root cause and appropriate treatment. In cases where no underlying cause can be identified, idiopathic hemolacria may be diagnosed, and treatment may focus on managing symptoms and providing supportive care 2.