Subconjunctival Hemorrhae

Question 1

What is a subconjunctival hemorrhage

Answer 1

Spontaneous rupture of small vessels between episclera and conjunctiva

Question 2

What causes a subconjunctival hemorrhage?

Answer 2

1. Minor trauma
2. Vigorous coughing
3. Lifting
4. Sneezing
5. Vomiting
   *may be a sign to an underlying bleeding disorder

Question 3

What are the signs of a subconjunctival hemorrhage

Answer 3

1. Asymptomatic
2. Prominent red eye or a dark maroon blood visible underneath conjunctiva
3. Homogenous, sharply demarcated red area covering part of the sclera
4. Pupils not affected

Question 4

What is the treatment of a subconjunctival hemorrhage/

Answer 4

A lot of reassurance
1. Redness may continue to spread over 48 hrs
*will turn yellow and then disappear
*may take up to 10-14 days
2. Resolves without tx

Question 5

What are the red flags of conjunctivitis

Answer 5

1. Reduced visual acuity
2. Ciliary flush
3. Photophobia
4. Severe FB sensation
5. Corneal opacity
6. Fixed pupil