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Black Tears (Melanodacryorrhea) From Uveal Melanoma
Fariba Ghassemi, MD;
Carol L. Shields, MD;
Melis Palamar, MD;
Ralph C. Eagle Jr, MD;
Jerry A. Shields, MD
Arch Ophthalmol. 2008;126(8):1166-1168.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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The ocular surface is protected by a thin, 3-layered, clear tear film. Systemic and local diseases can affect the content and color of the tear film. Bloody tears (hemolacria [Latin] or hematodacryorrhea [Greek]) are a red discoloration of the tears associated with several conditions, including epistaxis, contact lens irritation, severe anemia, coagulopathies (hemophilia), conjunctival vascular tumors, Osler-Weber-Rendu disease, nasolacrimal sac tumors, and conjunctival melanoma.1-2 Additionally, some drugs and diagnostic dyes can change the color of bodily secretions such as tears (rifampicin and fluorescein). In this article, we describe a patient with black tears (nigrolacria [Latin] or melanodacryorrhea [Greek]) who was found to have an extensively necrotic uveal melanoma by extraocular extension (EOE).
Report of a Case
A 71-year-old white man experienced painless blurred vision of the left eye for 2 months. During the previous 2 . . . [Full Text of this Article] Comment
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