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Ocular Diseases

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Subconjunctival Hemorrhage


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Ocular Disease: Subconjunctival Hemorrhage

What is a subconjunctival hemorrhage?

This occurs when a small blood vessel or capillary breaks and bleeds under the clear conjunctival layer covering the sclera. Blood is trapped under the conjunctiva, similar to a skin bruise. The hemorrhage may first appear as a bright red patch on the eye often discovered in the morning after awakening from sleep. The hemorrhage may occur seemingly without reason or may appear after coughing, sneezing, vomiting, heavy drinking, or any activity that results in a rapid increase in blood pressure.

There is no pain or vision loss associated with a subconjunctival hemorrhage. Its appearance may seem serious, but it is essentially harmless. It may first appear as a red patch, but may soon spread over a few days to cover nearly all of the visible white of the eye. The blood will naturally be absorbed over a period of one to three weeks and requires no treatment.


Symptoms

A patch of bright red blood present over the sclera that may spread to cover nearly all of the visible white of the eye. The blood is usually found in the morning after awakening. There is no pain or vision loss associated with this occurrence.


Risk Factors

  • Diabetes

  • Hypertension (High Blood Pressure)

Treatment

No treatment necessary


Prevention

Controlling blood sugar and blood pressure may help minimize the risk of a subconjunctival hemorrhage, but it may also appear spontaneously in individuals with no health issues.

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