title: Bloody Epiphora (Hemolacria) Years After Repair of Orbital Floor Fracture.
abstract: Surgical repair of orbital fractures with implants is a widely used treatment modality. While a variety of established complications are associated with this technique, most are directly understood and treated. Bloody epiphora is a finding with potentially ominous causes. The authors present a unique case of bloody epiphora, accompanied by orbital hemorrhage arising several years after orbital floor fracture repair, due to erosion of the nasolacrimal drainage system by a displaced implant combined with anticoagulation. The collection and evaluation of all protected patient health information was compliant with the regulations and conditions set forth in the Health Insurance Portability and Availability Act of 1996.
authors.affiliation: *University Hospitals Case Medical Center, Cleveland, Ohio; †Case Western Reserve University, Cleveland, Ohio; and ‡The Permanente Medical Group, Fresno, California, U.S.A.
authors.forename: Brian H
authors.initials: BH
authors.lastname: Chon
authors.forename: Rui
authors.initials: R
authors.lastname: Zhang
authors.forename: David S
authors.initials: DS
authors.lastname: Bardenstein
authors.forename: Michael
authors.initials: M
authors.lastname: Coffey
authors.forename: Atif C
authors.initials: AC
authors.lastname: Collins
mesh_terms: D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D009917:Orbital Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020273:Orbital Implants / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed