In this we can see about the different & rare case haemolacria

1. CASE
PRESENTATION
S.Shri Harshine
BSC.Optometry / 3rd year
MN College of Optometry

2. IN THIS PRESENTATION WE
GONNA TO SEE ABOUT A
YOUNG GIRL WITH LOW SOCIO
ECONOMIC CONDITION WHO
WAS ADMITTED TO RAJSHAHI
MEDICAL HOSPITAL WITH
BLEEDING IN EYE.
ABOUT THE
CASE

3. NAME : KHUSHITHA MRD no. : 05
AGE : 9 YEARS
GENDER : FEMALE
PHONE NO : 94367XXXXX
Email id. : xx555@gmail.com
DEMOGRAPHIC DATA

4. Recurrent painless and spontaneous
bleeding OU x 1 month while reading.
Last for 4 to 5 minutes.
CHIEF COMPLAINT

5. N/H/O Contact lens
N/H/O Trauma
N/H/O Sx
N/H/O Ocular prosthesis
N/H/O Ptosis
PAST OCULAR HISTORY
N/H/O Foreign Body in eye

6. N/H/O Bleeding diathesis
N/H/O Coagulopathy
N/H/O other Haematological
condition
N/H/O Consanguineous parents
N/H/O Bleeding
GENERAL HISTORY FAMILY HISTORY

7. OCULAR
EXAMINATION!

8. Distance-
OD : 6/6
OS:6/6
Near : OU: N6
Diagnosis: OU Normal
peripheral vision
VISUAL ACUITY VISUAL FIELD TEST EOM MUSCLE TEST
(CONFRONTATION TEST)
OU : Full, Free, ,
Painless movement.
IOP WITH SCHIOTZ
40mmHg
(Normal)

9. 1.EYELASHES : OD Normal
:OS Normal
2. LIDS : OU :No subcutaneous
mass superior to medial canthus
3.CONJUNCTIVA : Bulbar : Normal
: Palpebral : Normal
4.CORNEA : OU: Clear
5.IRIS : OU : NPNC
6.LENS : OU : Clear
7.PUPIL : OU :RRTL
8.ANTERIER CHAMBER: OU : Deep
9.SCLERA : OU : Clear & white
SLITLAMP EXAMINATION

10. 1.CDR : (OU)
NORMAL (0.3:1)
2.Blood vessels:(OU)
NORMAL
3.FR + : (OU)
FUNDUS
EXAMINATION

11. OTHERS
INCLUDES :
ULTRASONOGRAPHY
EYES: (OU) NORMAL
CT SCAN
BRAIN : NORMAL
MRI SCAN
ORBIT : NORMAL

12. PHYSICAL EXAMINATION
Height & Weight Normal to age
Heart rate 82 beats / minute (normal)
Blood pressure 110/70 mmHg (normal)
Temperature 98.F
Blood count Normal & No Anemia.

13. PHYSICAL
APPEARANCE

14. THE CORRECT DIAGNOSIS IS THREE
FOURTH THE REMEDY
- MAHATMA GANDHI
DIAGNOSIS

15. What is
that?
I heard it
some
where
LETS SEE !
IDIOPATHIC HAEMOLACRIA
ANSWER
Oh really
!

16. Parents were counselled about the
benign nature of the disease and
discharged at the home with advice to
come back for regular follow up.
TREATMENT

17. TIMEFORDISCUSSION

18. WHAT IS HAEMOLACRIA
HAEMOLACRIA is a physical
condition that causes a person to
produce tears that partially
composed of blood.

20. CAUSES
Hormone changes
Menstruation
Inflammation
Conjunctival injuries
Increase in blood pressure
Nose bleeding
Melanoma

21. It may be usually spontaneous
symptom that usually resolves in
time
In some cases of haemolacria,
there are no identifiable
medical causes or explanation

22. Usually no
treatment
Perform a nasal
endoscopy
Take cultures
to identify
any
abnormalities
Antibiotics
eye drops
in case of
severe eye
infection
TREATMENT

23. HAEMATODROSIS GINGIVITIS. EPISTAXIS HAEMATURIA
THINGS TO KNOW

24. THANK YOU!