Bloody tears: A case of bilateral ulcerative blepharitis

Praveena Gupta, Laura Di Meglio, Ashley Behrens

Research output: Contribution to journalArticlepeer-review


Chronic blepharitis leading to bilateral ulceration is rare to encounter. A 49-year-old African American female presents with bloody tears, severe pain, and photophobia in both eyes. Clinical presentation called for ulceration on the upper lid margins with excavated wound which bled on gentle rubbing. A systemic health review in combination of the symptoms and clinical picture led to the diagnosis of severe ulcerative blepharitis. Immediate oral antibiotics were started along with topical antibiotic cream. Ulcerative blepharitis can be easily misdiagnosed with sebaceous cell carcinoma. The pathophysiology of ulcerative blepharitis points to synergy between infectious entity and inflammatory aetiology, with either bacterial or fungal microorganisms as the trigger agents. Almost all cases of ulcerative blepharitis should include a dermatological evaluation given there is a strong association between ulcerative blepharitis and atopic dermatitis.

Original languageEnglish (US)
Pages (from-to)119-123
Number of pages5
JournalAsian Journal of Ophthalmology
Issue number2
StatePublished - 2018
Externally publishedYes


  • Atopic dermatitis
  • Blepharitis
  • Ulcerative blepharitis

ASJC Scopus subject areas

  • Ophthalmology


Dive into the research topics of 'Bloody tears: A case of bilateral ulcerative blepharitis'. Together they form a unique fingerprint.

Cite this