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According to the online Hawaiian-English dictionary maintained by the University of Hawaii, Lili'uokalani means "smarting of the high-born one". She was given that name because at the moment of her birth a relative was suffering from eye pain:

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http://wehewehe.org/gsdl2.5/cgi-bin/hdict?a=q&r=1&hs=1&e=q-0hdict--00-0-0--010---4----den--0-000lpm--1en-Zz-1---Zz-1-home---00031-0000escapewin-00&q=lili%27uokalani&j=pm&hdid=0&hdds=0