Subconjunctival Hemorrhage

  • Hemorrhage in conjunctiva caused by rupture of its blood vessels
  • Often caused by direct ocular trauma
  • May arise spontaneously in patients who cough or strain
  • May also arise in systemic hypertension, coagulopathy (low platelets, anticoagulation, blood dyscrasia), after difficult vaginal delivery, or in elderly or debilitated individuals
  • Usually nothing
  • If there has been no explanation, measure blood pressure and investigate for blood dyscrasia, especially if hemorrhage is recurrent
  • Uncomplicated hemorrhages usually resolve without harm within days