Subconjunctival hemorrhage: Difference between revisions

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*Can be spontaneous or related to trauma
*Can be spontaneous or related to trauma
*If large and associated with trauma, concern for occult globe rupture (obscured by hemorrhage)  
*If large and associated with trauma, concern for occult globe rupture (obscured by hemorrhage)  
==Clinical Features==
*Painless
*No effect on vision
*May recall a history of mild trauma or valsalva
*Examination
**Fresh red blood on a white sclera with clear borders
**Masks the conjunctival vessels
==Differential Diagnosis==


==Diagnosis==
==Diagnosis==
#Painless
*Clinical diagnosis
#No effect on vision
#May recall a history of mild trauma or valsalva
#Examination
##Fresh red blood on a white sclera with clear borders
##Masks the conjunctival vessels


==Treatment==
==Treatment==
#Reassurance
*Reassurance
##Will resolve 10-14d
**Will resolve 10-14d


==See Also==
==See Also==

Revision as of 21:30, 3 August 2015

Background

  • Bleeding of the conjunctival vessels into the subconjunctival space
  • Can be spontaneous or related to trauma
  • If large and associated with trauma, concern for occult globe rupture (obscured by hemorrhage)

Clinical Features

  • Painless
  • No effect on vision
  • May recall a history of mild trauma or valsalva
  • Examination
    • Fresh red blood on a white sclera with clear borders
    • Masks the conjunctival vessels

Differential Diagnosis

Diagnosis

  • Clinical diagnosis

Treatment

  • Reassurance
    • Will resolve 10-14d

See Also

Source

Tintinalli