A 13-year-old girl was admitted with a complaint of cyclic bleeding from the left inferior punctum with menstruation. Crusted hemorrhage was noticed in the tear meniscus of the left eye and just inferior to the left caruncle. With gradient-echo magnetic resonance imaging, the hemorrhagic tissue in the nasolacrimal canal was demonstrated and the diagnosis of nasolacrimal endometriosis was made. Nasolacrimal endometriosis is a rare ocular condition. Its management and histologic diagnosis remain challenging.
Gradient-echo magnetic resonance imaging may be helpful in the diagnosis of nasolacrimal endometriosis.
*Department of Obstetrics and Gynecology, İnönü University School of Medicine, Malatya, Turkey; and Departments of ¶Ophthalmology and ‡Neuroradiology, Firat University School of Medicine, Elaziğ, Turkey.
Accepted for publication April 20, 2007.
None of the authors has any financial interest in the methods or products mentioned in this report.
Address correspondence and reprint requests to Dr. Peykan Türkçüoğlu, Department of Ophthalmology, Firat University School of Medicine, Elaziğ, Turkey. E-mail: email@example.com