A case series on haemolacria

Haemolacria is a rare ophthalmic condition clinically manifested as blood-stained tears. We report haemolacria in three female and two male patients, aged between 8 and 19 years. These patients, experiencing dramatic blood-stained tears, complained of profound anxiety due to social stigma, among other less worrisome ocular symptoms like itching, burning, and mild pain. A detailed review of the limited literature guided us in forming a systematic work-up plan for them. A well-coordinated multispecialty collaboration helped us reach a definitive diagnosis of lacrimal sac rhinosporidiosis in one male, who had complete resolution of symptoms post-dacryocystectomy (DCT). Essential haemolacria was concluded for the other patients by diagnosis of exclusion. The patients were advised to use punctal plugs in their lower punctum during episodes for symptomatic relief and underwent counselling, which eventually improved their mental health and social acceptance.