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Case Reports in Ophthalmological Medicine
Volume 2015, Article ID 692382, 2 pages
Case Report

Idiopathic Bilateral Bloody Tearing

1Department of Ophthalmology, Samsun Research and Training Hospital, Kıranköy Mevkii, İlkadım, 55100 Samsun, Turkey
2Department of Ophthalmology, Ulucanlar Research and Training Hospital, 06030 Ankara, Turkey
3Department of Radiology, University of Baskent, Zubeyde Hanim Research and Training Hospital, 35540 İzmir, Turkey

Received 30 August 2014; Accepted 7 December 2014

Academic Editor: Kostas G. Boboridis

Copyright © 2015 Emrullah Beyazyıldız et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bloody tear is a rare and distinct clinic phenomenon. We report a case presenting with the complaint of recurrent episodes of bilateral bloody tearing. A 16-year-old girl presented to our clinic with complaint of bloody tearing in both eyes for 3 months. Bloody tearing was not associated with her menses. A blood-stained discharge from the punctum was not observed during the compression of both nasolacrimal ducts. Nasolacrimal passage was not obstructed. Imaging studies such as dacryocystography and gradient-echo magnetic resonance imaging (MRI) of nasolacrimal canal were normal. Intranasal endoscopic evaluation was normal. We collected samples from bloody tears two times and pathological examination was performed. Pathological analysis showed lots of squamous cells and no endometrial cells; dysplastic cells were found. Further evaluations for underlying causes were unremarkable. No abnormalities were found in ophthalmologic, radiologic, and pathologic investigations. This condition is likely a rare abnormality and the least recognized aetiology for the idiopathic phenomenon.