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November 1987

Bloody Tears Associated With Familial Telangiectasis

Author Affiliations

Albany, NY

Arch Ophthalmol. 1987;105(11):1489-1490. doi:10.1001/archopht.1987.01060110035020

To the Editor.  —Bloody tears have been associated with conjunctival lesions, including hemangiomas, fibromas, inflammatory granulomas, malignant melanomas and hereditary hemorrhagic telangiectasis.1 Lacrimal gland and sac tumors have also been known to cause bloody tears. Several other causes include local trauma, severe conjunctivitis with marked hyperemia, pannus or other corneal vascular lesions, hemophilia, jaumdice, application of a drug such as silver nitrate, and severe epistaxis with regurgitation through the lacrimal passages.1 This report concerns a patient with recurrent bloody tears from hereditary telangiectasis.

Report of a Case.  —A 63-year-old man complained of bloody tears occurring on a daily basis associated with intermittent visual blurring and a foreign-body sensation in the right eye. His symptoms had started two months prior to evaluation and were exacerbated by rubbing his eye. The patient had been diagnosed as having familial telangiectasis (Rendu-Osler-Weber disease) and had a history of gastrointestinal bleeding and

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