Subconjunctival Hemorrhage

What Is Subconjunctival Hemorrhage?

A subconjunctival hemorrhage is a red spot on your eye caused by a broken blood vessel. It might look scary, but it’s usually harmless.

Your conjunctiva, the clear membrane that covers your eye, has a lot of tiny blood vessels. When blood gets trapped beneath this layer, it’s called subconjunctival. This blood doesn’t involve the inside of your eye or your cornea, so your vision isn’t affected.

Subconjunctival Hemorrhage Symptoms

You might not even know that a blood vessel has broken until you look in a mirror. You probably won’t notice any symptoms like vision changes, discharge, or pain. You may only have a scratchy feeling on the surface of your eye.

The red spot may grow over 24 to 48 hours. Then it will slowly turn yellow as your eye absorbs the blood.

Call your doctor if the blood doesn’t go away in 2 or 3 weeks, if you also have pain or vision problems, if you have more than one subconjunctival hemorrhage, or if the blood is anywhere inside the colored part of your eye (iris).

Subconjunctival Hemorrhage Causes

These hemorrhages often happen when your blood pressure spikes because of:

Some red spots result from an injury or illness, such as:

Less common causes include:

Subconjunctival Hemorrhage Risk Factors

Men are more likely to have a subconjunctival hemorrhage caused by injury. In women, it’s more often because of other things.

Your odds of getting a subconjunctival hemorrhage go up as you get older, especially after age 50, because you’re more likely to get conditions such as diabetes and high blood pressure.

Subconjunctival Hemorrhage Diagnosis

Your doctor can tell that you have a subconjunctival hemorrhage just from looking at your eye. They’ll ask about your overall health, including injuries. They may also check your blood pressure and look closely at your eye with a device called a slit lamp.

You could need a blood test to make sure you don't have a serious bleeding disorder.

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Subconjunctival Hemorrhage Treatment

Most red spots heal on their own without treatment. Depending on how big it is, it may take a few days or a few weeks to go away. There’s no way to speed up this process.

Self-care

Ice packs and over-the-counter artificial tears can help ease any swelling and discomfort.

Medical care

Your doctor will treat any injury or condition that caused your subconjunctival hemorrhage, such as medication for high blood pressure.

Subconjunctival Hemorrhage Prevention

If you need to rub your eye, do it gently. If you wear contact lenses, clean and disinfect them regularly. Wear protective gear when you’re playing sports or doing activities that could cause an eye injury. Keep bleeding disorders under control.

Subconjunctival Hemorrhage Complications

In most cases, there are no complications. It’s rare, but a total subconjunctival hemorrhage may be a sign of a serious vascular disorder in older people.

Subconjunctival Hemorrhage Outlook

A subconjunctival hemorrhage will usually go away without causing any vision problems. It happens again about 10% of the time in most people, or more often in those who take medications like blood thinners.

WebMD Medical Reference Reviewed by Whitney Seltman on May 03, 2020

Sources

SOURCES:

American Academy of Ophthalmology: “Subconjunctival Hemorrhage Causes,” “Subconjunctival Hemorrhage Treatment,” “What Is a Subconjunctival Hemorrhage?”

Mayo Clinic: “Subconjunctival Hemorrhage (broken blood vessel in eye): Diagnosis,” “Subconjunctival Hemorrhage (broken blood vessel in eye): Overview,”

Clinical Ophthalmology: “Subconjunctival hemorrhage: risk factors and potential indicators.”

Merck Manual Consumer Version: “Subconjunctival Hemorrhage.”

KidsHealth: “A to Z: Subconjunctival Hemorrhage.”

Cedars-Sinai: “Subconjunctival Hemorrhage.”

StatPearls: “Subconjunctival Hemorrhage.”

Cleveland Clinic: “Subconjunctival Hemorrhage.”

 

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