A rare cause of recurrent subconjunctival haemorrhage: ocular vicarious menstruation

Session Details

Session Title: Special Cases
Session Date/Time: Friday 26/02/2016 | 08:30-10:00
Paper Time: 09:42
Venue: MC3 Room
First Author: : A.Celebi TURKEY
Co Author(s): :    A. Kilavuzoglu   U. Altiparmak   C. Cosar   A. Ozkiris     

Abstract Details

Purpose:

Herein we aimed to present a 43-year-old female with ocular vicarious menstruation and its treatment, and a review of other published cases of ocular vicarious menstruation.

Setting:

Retrospective medical chart review- Acibadem University School of Medicine

Methods:

Retrospective medical chart review

Results:

A 43-year-old Caucasian female presented with a 15-year history of recurrent monthly unilateral subconjunctival hemorrhage. The episodes were cyclical and coincided with the onset of menses, lasting for approximately 10-14 d. Slit-lamp examination of the right eye showed nasally located subconjunctival hemorrhage. Detailed laboratory findings, including parameters for various hematological disorders, were normal. A follow-up examination 2 weeks later showed that the subconjunctival hemorrhage in the right eye was completely resolved. The patient was prescribed the oral contraceptive levonorgestrel/ethinyl estradiol and marked improvement at the recurrences of subconjunctival hemorrhage was noted during subsequent menses.

Conclusions:

Ocular vicarious menstruation is among the rarest causes of recurrent subconjunctival hemorrhage. A therapeutic trial of oral contraceptive should be considered in patients that present with ocular vicarious menstruation.

Financial Disclosure:

NONE