Subconjunctival hemorrhage

Background

• bleeding of the conjunctival vessels into the subconjunctival space
• Can be spontaneous or related to trauma

Diagnosis

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

Workup

None, unless history concerning for:

1. Hypertension
2. diabetes
3. Bleeding disorder

Treatment

1. Reassurance
   1. Will resolve 2-3 wks

See Also

• Eye Algorithm (Main)