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Haemolacria and Spontaneous Globe Rupture on Physical Exam One of the most horrendous complications of Dengue hemorrhagic fever encountered during a neurology consult for altered sensorium. Patient sedated and paralyzed and I detected haemolacria. Opened both eyes to find bilateral spontaneous eyeball rupture. Dr. Boby Varkey Maramattom @bobvarkey #Haemolacria #PhysicalExam #ocular #clinical #video #globe #rupture #ophthalmology #dengue #hemolacria