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Vinod Gauba, MRCOphth; Matthew Cooper, FRCOphth; Christopher Liu, FRCOphth

Arch Ophthalmol. 2006;124:1361-1362.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Recurrent subconjunctival hemorrhage has been found to occur in various circumstances, including in primary conjunctival amyloidosis.¹ It usually occurs spontaneously and warrants ocular and systemic examination. However, if it occurs precisely every month in association with menstruation, then it may be termed vicarious menstruation.

Report of a Case

A 30-year-old woman had an 8-year history of unilateral recurrent subconjunctival hemorrhaging that commenced each month on the first day of her menstrual cycle and cleared after 7 to 10 days. The monthly timing of the bleeding was so precise that she found it a reliable indicator for day 1 of each menstrual cycle. The initial onset of symptoms appeared to have occurred shortly after the birth of her first child. Examination revealed a fleshy, thickened, discrete conjunctival mass in the inferior fornix (Figure 1). This appearance raised the suspicion of conjunctival lymphoma or . . . [Full Text of this Article]

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