{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:57:02Z","timestamp":1791824222328,"version":"4.3.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ocular involvement in endometriosis is an exceptionally rare extrapelvic manifestation, typically presenting as catamenial haemorrhagia. We report the case of an adolescent girl who presented with recurrent eye bleeding and pain during her menstruation. A comprehensive physical examination and imaging, including orbital magnetic resonance imaging, were unremarkable. Hematologic and ophthalmological evaluations excluded coagulopathies and structural ocular pathologies. Given the cyclical pattern of her symptoms and the absence of other identifiable causes, a presumptive diagnosis of ocular endometriosis was made. The patient was treated with a combination of dienogest and ethinyl estradiol, leading to significant symptom improvement over a two-year follow-up period. Occasional minimal haemolacria persisted, but no further intervention was required. This case underscores the importance of considering endometriosis in the differential diagnosis of catamenial haemolacria, even in the absence of radiological confirmation. A multidisciplinary approach and individualized hormonal therapy can result in substantial symptom control and improved quality of life in affected patients with catamenial haemolacria.<\/jats:p>","DOI":"10.1093\/jscr\/rjag078","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:50:12Z","timestamp":1770295812000},"source":"Crossref","is-referenced-by-count":0,"title":["Catamenial haemolacria and ocular pain as rare manifestations of extra-pelvic endometriosis"],"prefix":"10.1093","volume":"2026","author":[{"given":"Emine","family":"Karab\u00fck","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ac\u0131badem Mehmet Ali Ayd\u0131nlar University, School of Medicine , 34303, Istanbul ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beste","family":"\u00c7akmakgil","sequence":"additional","affiliation":[{"name":"Ac\u0131badem Mehmet Ali Ayd\u0131nlar University, School of Medicine , Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayberk","family":"\u00c7ak\u0131r","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ac\u0131badem Atakent University , 34303, Istanbul ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Faruk","family":"K\u00f6se","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ac\u0131badem Mehmet Ali Ayd\u0131nlar University, School of Medicine , 34303, Istanbul ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"2026101212405144300_ref1","doi-asserted-by":"crossref","first-page":"154847","DOI":"10.1016\/j.prp.2023.154847","article-title":"Endometriosis: classification, pathophysiology, and treatment options","volume":"251","author":"Pa\u0161ali\u0107","year":"2023","journal-title":"Pathol-Res Practice"},{"key":"2026101212405144300_ref2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-018-0008-5","article-title":"Endometriosis","volume":"4","author":"Zondervan","journal-title":"Nat Rev Dis Primers"},{"key":"2026101212405144300_ref3","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5468\/ogs.2015.58.1.53","article-title":"Various anatomic locations of surgically proven endometriosis: a single-center experience","volume":"58","author":"Lee","year":"2015","journal-title":"Obstet Gynecol Sci"},{"key":"2026101212405144300_ref4","doi-asserted-by":"publisher","first-page":"e28864","DOI":"10.7759\/cureus.28864","article-title":"Endometriosis: a review of clinical diagnosis, treatment, and pathogenesis","volume":"14","author":"Chauhan","journal-title":"Cureus"},{"key":"2026101212405144300_ref5","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1002\/rmb2.12340","article-title":"Extra-pelvic endometriosis: a review","volume":"19","author":"Hirata","year":"2020","journal-title":"Reprod Med Biol"},{"key":"2026101212405144300_ref6","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.jpag.2019.11.011","article-title":"Adolescent endometriosis: an update","volume":"33","author":"Shim","year":"2020","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2026101212405144300_ref7","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/j.molmed.2024.06.008","article-title":"Endometriosis: recent advances that could accelerate diagnosis and improve care","volume":"30","author":"Griffiths","year":"2024","journal-title":"Trends Mol Med"},{"key":"2026101212405144300_ref8","doi-asserted-by":"publisher","first-page":"hoab029","DOI":"10.1093\/hropen\/hoab029","article-title":"An international terminology for endometriosis, 2021","volume":"2021","author":"International working group of AAGL E, ESHRE, WES","year":"2021","journal-title":"Hum Reprod Open"},{"key":"2026101212405144300_ref9","doi-asserted-by":"crossref","first-page":"107","DOI":"10.52054\/FVVO.15.2.074","article-title":"Eyes, menstruation and endometriosis","volume":"15","author":"Rahman","year":"2023","journal-title":"Facts, Views & Vision in ObGyn"},{"key":"2026101212405144300_ref10","first-page":"Doc05","article-title":"A rare cause of recurrent subconjunctival hemorrhage: ocular vicarious menstruation","volume":"13","author":"Celebi","year":"2023","journal-title":"GMS Ophthalmology Cases"},{"key":"2026101212405144300_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac009","volume":"2022","author":"Becker","journal-title":"Hum Reprod Open"},{"key":"2026101212405144300_ref12","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1038\/s41433-022-02224-x","article-title":"Blood-stained tears\u2014a red flag for malignancy?","volume":"37","author":"Kaushik","year":"2023","journal-title":"Eye"},{"key":"2026101212405144300_ref13","doi-asserted-by":"crossref","first-page":"1476","DOI":"10.3390\/biomedicines12071476","article-title":"Endometriosis: a comprehensive analysis of the pathophysiology, treatment, and nutritional aspects, and its repercussions on the quality of life of patients","volume":"12","author":"Cano-Herrera","year":"2024","journal-title":"Biomedicines"},{"key":"2026101212405144300_ref14","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1097\/AOG.0000000000005448","article-title":"Evaluation and management of endometriosis in the adolescent","volume":"143","author":"Shim","year":"2024","journal-title":"Obstet Gynecol"},{"key":"2026101212405144300_ref15","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1097\/GCO.0000000000000983","article-title":"Medical management of endometriosis","volume":"36","author":"Alonso","year":"2024","journal-title":"Curr Opin Obstet Gynecol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag078\/71877615\/rjag078.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag078\/71877615\/rjag078.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:40:59Z","timestamp":1791823259000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag078\/8910661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag078","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"rjag078"}}