Subconjunctival Hemorrhage
Overview
A subconjunctival hemorrhage is a scary-looking eye condition in which one of the tiny blood vessels
below the
conjunctiva breaks and leaks blood into
the space enclosed within the conjunctiva. Blood from the leak can spread along the
sclera below the conjunctiva. The conjunctiva
acts as a pouch containing the blood until it is taken away by the natural filtration system of the
body. Since the conjunctiva is completely transparent, blood can easily be seen behind it. Despite its
gory appearance, subconjunctival hemorrhages are actually completely benign and no treatment is
necessary.
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Figure: Subconjunctival hemorrhage. Courtesy of EyeAtlas.com.
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Subconjunctival hemorrhages can result from any burst of stress that is put on the blood vessels
within the eye, such as intense coughing, heavy lifting, vomiting, constipation, or trauma. Individuals
with
diabetes and/or
hypertension are more prone to
developing subconjunctival hemorrhage, as they tend to have weaker blood vessels.
Signs & Symptoms of Subconjunctival Hemorrhage
A subconjunctival hemorrhage is readily apparent upon simply looking at the eye. There is a red,
bloody patch on the white sclera of the eye. It is painless, with no impact on vision.
Subconjunctival Hemorrhage Treatment
No treatment is necessary for subconjunctival hemorrhages, which tend to self-resolve within about
a week. If no history of obvious cause for the subconjunctival hemorrhage can be determined, it is
advisable to monitor blood pressure.
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