Rare case of red tears: ocular vicarious menstruation.

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A 25-year-old woman with cyclical bloody tears coinciding with her menstrual cycle was diagnosed with ocular vicarious menstruation after excluding other causes and successfully treated with oral contraceptive pills.

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Abstract

Bloody tears or haemolacria is a rare clinical entity. It is caused by various ocular and systemic conditions. Haemolacria due to vicarious menstruation is even rarer. In this article, we presented a case of cyclical episodes of bloody tears coinciding with menstrual cycle in a 25-year-old married female patient. Extensive physical, ophthalmological and radiological evaluation failed to reveal other potential causes of her complaint. A diagnosis of ocular vicarious menstruation was made and she was treated with oral contraceptive pills. No such episode recurred during 3 months follow-up period.

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europepmc
last seen: 2026-08-23T09:30:01.253652+00:00