What are the causes and treatment options for subconjunctival hemorrhage?

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Last updated: April 14, 2025View editorial policy

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From the Research

Subconjunctival hemorrhage is a benign condition that typically resolves on its own within 1-2 weeks without treatment, but it's crucial to investigate for underlying conditions such as hypertension, bleeding disorders, or systemic diseases, especially in recurrent or persistent cases, as suggested by 1. The condition is characterized by a bright red patch on the white of the eye due to broken blood vessels under the conjunctiva. Common causes include coughing, sneezing, straining, eye rubbing, trauma, high blood pressure, blood thinning medications, and occasionally bleeding disorders. Some key points to consider in the management of subconjunctival hemorrhage include:

  • No specific medication is typically needed, though artificial tears can help with any mild irritation, as the condition is generally self-limiting.
  • For discomfort, over-the-counter pain relievers like acetaminophen may be used as directed.
  • Avoid rubbing the affected eye and consider warm compresses to speed healing.
  • If the hemorrhage is large, recurrent, accompanied by vision changes, pain, or occurs after injury, medical evaluation is recommended to rule out underlying conditions that may need treatment, as highlighted by 1 and 2. The condition looks alarming but rarely affects vision and typically heals completely as the blood is gradually reabsorbed by the body. However, it is essential to be aware of the potential for subconjunctival hemorrhage to be an initial sign of a more serious systemic disorder, as noted in 2, emphasizing the need for thorough investigation in certain cases.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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