What patient education is recommended for a subconjunctival hemorrhage?

Patient Education for Subconjunctival Hemorrhage

Subconjunctival hemorrhage is a benign, self-limiting condition that typically resolves within 1-2 weeks without specific treatment. 1

What is a Subconjunctival Hemorrhage?

• A bright red patch on the white of the eye caused by blood leaking from small blood vessels between the conjunctiva (clear membrane covering the eye) and sclera (white part of the eye) 1
• Appears alarming but is generally harmless and resolves on its own 1

Causes and Risk Factors

• Often occurs spontaneously without an identifiable cause 2
• Common causes include:
  • Minor trauma (rubbing eyes, coughing, sneezing, vomiting) 2
  • Contact lens usage (especially in younger patients) 2
  • Systemic conditions like hypertension, diabetes, and arteriosclerosis (more common in elderly) 2
  • Viral conjunctivitis (can be associated with subconjunctival hemorrhage) 1

Management and Home Care

• No specific treatment is required for isolated subconjunctival hemorrhage 1
• For comfort, you may:
  • Use artificial tears to relieve mild irritation 1
  • Apply cold compresses for 20-30 minutes per session with a barrier (thin towel) between the cold container and skin 1
  • A bag filled with ice and water surrounded by a damp cloth provides optimal cooling for comfort 1

Expected Course

• The bright red appearance will gradually change color (like a bruise) and fade over 1-2 weeks 1
• No permanent damage to vision or the eye 1
• The blood will be reabsorbed naturally without leaving any traces 1

When to Seek Medical Attention

• If the hemorrhage is accompanied by:
  • Persistent pain 1
  • Signs of infection 1
  • Vision changes 2
  • Recurrent episodes without clear cause 2
• Recurrent or persistent subconjunctival hemorrhages may warrant further evaluation for underlying conditions such as:
  • Systemic hypertension 2
  • Bleeding disorders 2
  • Systemic or ocular malignancies 2
  • Medication side effects 2

Special Considerations

• If you're taking blood thinners (anticoagulants):
  • You may experience more severe or recurrent subconjunctival hemorrhages 1
  • This is generally considered a minor bleeding risk and doesn't require discontinuation of your medication 1
  • Consult with your healthcare provider if you have concerns 1

Follow-up Recommendations

• Follow-up within 1-2 weeks if symptoms persist or worsen 1
• Immediate follow-up if you develop eye pain, vision changes, or signs of infection 1