Journal of Ophthalmic and Vision Research

Published date: Jul 30 2025

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: ‎Volume 20 - 2025

Pages: 1 - 5

DOI: 10.18502/jovr.v20.16581

Behzad Khademikhademi.behzad@gmail.comPoostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz

Mehdi Moallemdr.m.moallem@gmail.comPoostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz,

Mahsa Kohandel-Shirazimahsakohandel@hotmail.comDepartment of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz

Purpose: We present a case of hemolacria, which emerged as an unusual mass in the lacrimal sac.
Case Report: A nine-year-old girl presented with intermittent unilateral hemolacria and episodes of dacryocystitis with no further remarkable medical or surgical history. CT scan indicated the presence of well-defined calcified tissue enclosed within the lacrimal sac. Following external dacryocystorhinostomy, well-formed firm tissue resembling bony tissue was extracted and sent for pathological evaluation, along with biopsies from the lacrimal sac. Histopathological analysis revealed heterotopic bone formation with nonspecific inflammation of the lacrimal sac. No underlying cause was discernible in the complementary assessment, and no recurrence was noted at one-year follow-up.
Conclusion: A child with hemolacria was found to have heterotopic ossification in the lacrimal sac with no discernible underlying cause.

Keywords: Hemolacria, Heterotopic Ossification, Lacrimal Sac

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