Learn what causes a subconjunctival hemorrhage, a burst blood vessel in the eye, and read about symptoms, signs, diagnosis, home remedies, treatment, and . These blood vessels are somewhat fragile, and their walls may break easily, resulting in a subconjunctival hemorrhage (bleeding under the. Subconjunctival hemorrhage is a benign disorder that is a common cause of acute ocular redness. The major risk factors include trauma and.

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Ocular amyloidosis Conjunctival amyloidosis may be one of the unusual causes of spontaneous SCH. Effect of subconjunctivally injected, subconjunival, low-molecular-weight heparin on the absorption rate of hematoms hemorrhage in rabbits. Interestingly the patient reported the subconjunctival hematoma did not develop until one week after his fall at which time is acutely became elevated and he was most bothered by the inability to close his lids leading to exposure.

Upon slit lamp examination he had periorbital ecchymosis, degrees subconjunctival hemorrhage, and a large elevated subconjunctival hematoma inferonasally.

What is a Subconjunctival Hemorrhage? – American Academy of Ophthalmology

The first treatment reported in the literature was air therapy. Stone CK, et al. Ocular surgery Many ocular and nonocular surgical procedures may prompt SCH by different mechanisms. A subconjunctival hemorrhage is typically a self-limiting condition that requires no treatment in the absence of infection subconjumtival significant trauma. Systemic factors Systemic factors that may lead to SCH can be classified as systemic vascular diseases, sudden severe venous congestion, hematological dyscrasias, systemic trauma, acute febrile systemic diseases, drugs, carotid cavernous fistulas CCFsmenstruation, and delivery in newborns.


Evaluation of the red eye. Ophthalmoparesis Chronic progressive external ophthalmoplegia Kearns—Sayre syndrome. Published online Jun Characteristics of pediatric subconjungival typhus during an outbreak in the North Eastern region of India: Spontaneous subconjunctival haemorrhage — a sign of hypertension? Web Privacy Policy Nondiscrimination Statement. It is important to obtain a thorough medication, medical, and ocular history from patients presenting with SCH, including any possible trauma, ocular surgery, contact lens wear, drugs, and heritable conditions.

Parmeggiani et al 60 conducted a study to determine whether FXIII Val34Leu polymorphism, thought to be a predisposing risk factor for primary intracerebral hemorrhages in a previous study, might increase the risk of SCH, and showed that frequency of FXIII-mutated allele was higher in patients with SCH than in controls.

In patients in whom subconjunctival hemorrhage is recurrent or persistent, further evaluation, including workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies, and drug side effects, is warranted.

J Cataract Refract Surg.

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Drugs In addition to anticoagulant and antiplatelet medication, there are some drugs reported in the literature related to SCH. Gaver-Shavit A, Minouni M.

Use of tissue plasminogen activator in experimental hyphema. Traumatic subconjunctival hemorrhage involving the nasal half of the bulbar conjunctiva caused by soft contact lens wear. Prevalence of ocular hemorrhage in patients receiving warfarin therapy. Views Read Edit View history. N Engl J Med. Top A stress induced subconjunctival bleeding in the left eye one week after hemorrhaging. The incidence of contact lens-related SCH was reported to be 5.


Patients with hematologic disorders should not wear contact lenses. The first study on the risk factors was reported by Fukuyama et al 5 inwho showed that local trauma, systemic hypertension, acute conjunctivitis, and diabetes mellitus were the main causes or associated conditions of Heatoma.

The INR should be checked if the patient is taking warfarin.

Subconjunctival Hemorrhage

Voluntary breath-holding leading to bilateral subconjunctival haemorrhaging in a patient with schizophrenia. Robinson GA, Nylander A.

Accessed June 6, Asthenopia Hemeralopia Photophobia Scintillating scotoma. Eye Lond ; 20 4: On the other hand, the cause of SCH was undetermined in about half of the patients. If your condition is due to trauma, your doctor may evaluate your eye to ensure you don’t have other eye complications or injury.

If the bleeding in your eye has a clearly identifiable cause, such as a bleeding disorder or blood-thinning medication, ask your doctor if you can take any steps to reduce the risk of a subconjunctival hemorrhage. A detailed history may provide clues to the underlying conditions. Therefore, all patients presenting with SCH should be thoroughly asked about any possible trauma in the last few days.

Spontaneous hyphaema and intra-bleb subconjunctival haemorrhage in a patient with previous trabeculectomy.