We report the case of a man, aged 81 years, with end-stage renal disease who developed
hemolacria after insertion of a “Rhino Rocket” nasal tamponade device to treat persistent
epistaxis. The hemolacria resolved after treatment with intranasal oxymetazoline. In the
setting of epistaxis with nasal tamponade, hemolacria is thought to be caused by retrograde
flow from the inferior nasal turbinates via an anatomic connection with the lacrimal system …