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Subconjunctival hemorrhage by Dr. Michael Duplessie Eye Doctor
1. Michael Duplessie, MD
Taiba Hospital
Department of Ophthalmology
Road No 3,
SabahAl Salem
965-25529019
COME SEE US, THEN SEE THE WORLD
SUBCONJUNCTIVAL
HEMORRHAGE
Associated with ocular rubbing
Common in allergy patients
A reason to have your blood pressure checked
2. SUBCONJUNCTIVAL HEMORRHAGE
A subconjunctival hemorrhage occurs
when a small blood vessel under the con-
junctiva [white part of the eye] breaks and
bleeds.
It may occur spontaneously or from
eye rubbing, coughing, heavy lifting, strain-
ing at the bathroom, or vomiting. In some
cases, it may develop following eye surgery
or trauma.
Subconjunctival hemorrhage tends to
be more common among those with di-
abetes and hypertension. Lastly, it is very
common in individuals on blood thinners.
While it may look frightening, a
subconjunctival hemorrhage is essentially
harmless. The blood becomes trapped
underneath the clear conjunctival tissue,
much like a bruise. The blood is visible be-
cause it shows through the thin, clear con-
junctiva. The blood naturally absorbs with-
in one to three weeks and no treatment is
required.
Signs and Symptoms
Red, bloody patch on the white of the
eye
Painless
No change in vision
Detection and Diagnosis
Most patients notice the subconjunctival
hemorrhage when looking in the mirror, or
friend or family member points it out.
Treatment
Although it may look like an emergency,
a subconjunctival hemorrhage does not
affect the vision and no treatment is
required. Lubricating drops can be used for
an ocular discomfort. It is suggested that
all patients with subconjunctival
hemorrhages and on blood thinners get
blood to evaluate their blood clotting
ability.