PT - JOURNAL ARTICLE AU - Soumitra Ghosh AU - Sudheer Tale AU - Neha Handa AU - Ashish Bhalla TI - Rare case of red tears: ocular vicarious menstruation AID - 10.1136/bcr-2020-237294 DP - 2021 Mar 01 TA - BMJ Case Reports PG - e237294 VI - 14 IP - 3 4099 - http://casereports.bmj.com/content/14/3/e237294.short 4100 - http://casereports.bmj.com/content/14/3/e237294.full SO - BMJ Case Reports2021 Mar 01; 14 AB - Bloody tears or haemolacria is a rare clinical entity. It is caused by various ocular and systemic conditions. Haemolacria due to vicarious menstruation is even rarer. In this article, we presented a case of cyclical episodes of bloody tears coinciding with menstrual cycle in a 25-year-old married female patient. Extensive physical, ophthalmological and radiological evaluation failed to reveal other potential causes of her complaint. A diagnosis of ocular vicarious menstruation was made and she was treated with oral contraceptive pills. No such episode recurred during 3 months follow-up period.