The authors present two cases of ‘idiopathic’ bloody tearing. The paper presents the potential causes of bloody tearing, highlighting the difficulty that can be encountered in diagnosing and managing these patients. The authors use punctal plugs in these cases which may be useful in determining if the cause of the bloody tears is distal or proximal to the punctum. Interestingly both of the cases resolved without active intervention. 

Haemolacria: A novel approach to lesion localization.
Fowler BT, Kosko MG, Pegram TA, et al.
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Claire Howard

Salford Royal NHS Foundation Trust, Salford, UK.

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