Subconjunctival haemorrhage

Question 1

What are the causes of subconjunctival haemorrhage?

Answer 1

• Trauma -> if present, must check for other trauma related injuries
• Spontaneous (may not be able to identify precipitating event)
• -> HTN
• -> Valsalva, constipation/straining/chronic cough, heavy lifting
• -> Anticoagulants, antiplatelet use
• -> Systemic bleeding disorder

Question 2

what are the symptoms of subconjunctival haemorrhage?

Answer 2

sudden onset red eye, **painless, no ocular symptoms

Question 3

what are the signs of subconjunctival haemorrhage>

Answer 3

patch of bright red haemorrhage (usually cannot see underlying sclera), usually sectorial w feathery border (well-demarcated anterior & posterior limits), superficial
Investigatio

Question 4

what is the management of subconjunctival haemorrhage?

Answer 4

• Reassure pt - self-resolving in 2-3 weeks, no significant sequelae, no vision loss
• Treat underlying causes (e.g. HTN, bleeding disorder)