Blue Dacryorrhea After Inadvertent Infiltration of the Lacrimal Gland During Scleral Tattooing.
Francisco J Bonilla Escobar, Joana Karanxha, Jessica A Kraker et al.
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Case in brief
A 25-year-old woman presented with unilateral eye pain, photophobia, and bright blue tears four months post-scleral tattooing. Clinical examination and contrast-enhanced orbital CT revealed teal tattoo pigment in the enlarged, tender lacrimal gland, indicating dacryoadenitis. The patient's symptoms improved with conservative treatment, including topical antibiotic-steroid drops and lubrication.
What made this case unusual
The case highlights the occurrence of pigmented dacryorrhea due to inadvertent infiltration of the lacrimal gland during scleral tattooing, a complication not previously documented.
Diagnostic / clinical pearl
Clinicians should consider lacrimal gland involvement in patients presenting with unusual tearing and eye discomfort following ocular body modifications.
Why it matters
This case emphasizes the potential for significant adnexal complications from scleral tattooing, reinforcing the importance of thorough patient counseling regarding the risks associated with such procedures.