Sub-conjunctival haemorrhage - Hyposphagma

Very low urgency
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Collection of blood in the eye at a subconjunctival level.

In most cases, the cause is unknown. Sometimes it is related to repeated Valsalva manoeuvres (coughing, sneezing, constipation, vomit, etc.), small hits, increases in blood pressure and people following an anti-clotting treatment.

The eye has a red area, usually flat, and generally without any other symptoms. It rarely causes mild discomfort or a foreign body sensation.

Diagnosis is made based on clinical history and a simple physical examination

There is no specific treatment, but if it produces discomfort, artificial tears may be used to reduce it.

Bibliographic references
  1. Deborah S Jacobs, MD. Overview of the red eye. Uptodate. Jan 09, 2018.
  2. Collier SA, Gronostaj MP, MacGurn AK, et al. Estimated burden of keratitis--United States, 2010. MMWR Morb Mortal Wkly Rep 2014; 63:1027.
  3. Ray KJ, Srinivasan M, Mascarenhas J, et al. Early addition of topical corticosteroids in the treatment of bacterial keratitis. JAMA Ophthalmol 2014; 132:737.
  4. Herretes S, Wang X, Reyes JM. Topical corticosteroids as adjunctive therapy for bacterial keratitis. Cochrane Database Syst Rev 2014; :CD005430.
  5. Ray KJ, Srinivasan M, Mascarenhas J, et al. Early addition of topical corticosteroids in the treatment of bacterial keratitis. JAMA Ophthalmol 2014; 132:737.
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Symptoms

    Bleed on the white of the eye


    Eye haemorrhage


    Redness in only one eye


    Eye discomfort

Symptoms to watch out for

Ocular trauma
Strange body in the eye

Self-care

Use artificial tears.
Avoid rubbing the eyes.