Bloody Tears: Overview, Causes & Treatment

Although crying bloody tears may appear like a made-up scenario, blood-tinged tears are a real medical problem. The condition is known as Hemolacria or bloody epiphora when the body produces blood-stained tears. These may originate from the tear ducts, but they might also arise from other eye structures.

Acute bleeding from the area affected is possible due to wear or injuries to the inner eyelid. The bloody tears may originate from the inner corner of the eye if the bleeding’s origin is further back.

The pain and suffering associated with this ailment can be efficiently diagnosed and treated by an ophthalmologist in Bangalore. Do you have bloodshot eyes or bleeding while you’re crying? Before you book a doctor online appointment, read on to learn further about Haemolacria or bloody epiphora.

Causes of Haemolacria or Bloody Epiphora (bloody tears)

Haemolacria cases have been linked to a variety of illnesses and diseases. An ophthalmologist in Bangalore can identify Haemolacria via different symptoms. Some of the most typical ones are:

  • hormones alter 
  • menstrual cycles
  • swelling conjunctival wounds
  • tear duct stopped by trauma
  • blood problems include hemophilia and high blood pressure nosebleeds
  • the pyogenic granuloma
  • melanoma/tumors

There may be no known medical causes or explanations for some occurrences of haemolacria. As a result, it can be considered an unprepared symptom that goes away eventually.

Haemolacria often lasts a brief period of time before disappearing. But book a doctor online appointment if you start to have any other symptoms in addition to bloody tears.

Differential Diagnosis for Hemoclaria

Hemolacria’s differential diagnosis includes:

  • Patients receiving treatment with rifampicin may notice their tears are red in color.
  • False bloody tears – Whiners may pose as red-colored liquids and assert that the tear is stained with blood. Protoporphyrin and coproporphyrin, which are released by Harderian glands, can cause rats treated with muscarinic drugs to produce reddish-brown tears (chromodacryorrhea). Conjunctival argyrosis and necrotic uveal melanoma are two conditions that may present with melano dacryorrhea, or black tears.
  • If microscopic or chemical evidence of red blood corpuscles is present in tears, it is referred to as occult haemolacria. 10% of the normal population had erythrocytes visible under a microscope in their tears, and 3% of normal people had blood visible chemically using the chemical stix technique 16. Though less frequently observed, occult blood was frequently discovered in acute infectious conjunctivitis as well as in chronic and subacute infective conjunctivitis 16.

Diagnosis for Hemoclaria

To explore for innate causes and the source of the hemorrhage, all patients who arrive with haemolacria should have thorough ocular and systemic examinations. Particularly important is the history of systemic illnesses (such as hematological disorders, coagulopathies, and hypertension), as well as the use of drugs like warfarin, aspirin, or clopidogrel.

Before classifying the etiology as “unknown” or “idiopathic,” mental illnesses and vicarious menstruation must be ruled out if no ocular or systemic factors are evident.

Imaging, if necessary, may provide a hint as to the cause of hemolytic uremic syndrome. In order to rule out bleeding lesions inside the tear drainage system that would go undetected without this modality, microendoscopy promises to be a crucial tool. It is best to book a doctor online before jumping to conclusions and diagnoses. 

Treatment for Hemoclaria

Your ophthalmologist in Bangalore or any other city must completely diagnose the underlying illness before making a therapy recommendation. In order to accurately identify hemolytic uremic syndrome, ophthalmologists may:

  • You should examine and irrigate the afflicted eye region and obtain cultures to check for any abnormalities.
  • Administer a nasal endoscopic
  • Scanning of your sinuses with a CT scanner.

The underlying reason ultimately determines how well a treatment works. Bloody tears frequently don’t need to be treated. A wait-and-see strategy may be advised by your ophthalmologist, but in more serious circumstances, they may advise:

  • dilatation and flushing for tear draining 
  • stenting 
  • medicine or antibiotic eye drops to combat infection
  • operating or reconstructing

Consult with your ophthalmologist in Bangalore about the possibilities before choosing a course of action. Only the most severe situations might necessitate surgery or other invasive procedures.


In extreme circumstances, severe bleeding from tears, especially in a patient with coagulopathy, may even be deadly. It is crucial to rule out hemorrhage from other sources, particularly visceral bleeding.

Even though it may seem frightening at first, haemolacria frequently goes away on its own and is harmless. It’s also been used as a sign or symptom of various illnesses or ailments.

Book a doctor online appointment and seek an ophthalmologist in Bangalore or in any other city, if you start to feel any other symptoms, discomfort, or pain in addition to bloody tears.

In order to determine whether the eye bleeding is the result of an underlying issue, an ophthalmologist may measure a patient’s blood pressure and sample blood for laboratory testing.

An ophthalmologist may employ eye drops to enlarge the pupils, making it easier to examine them for a more precise diagnosis. To check for injuries inside the eyes or behind the eyes, they might also use an ultrasound or CT scan.

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