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Subconjunctival hemorrhage

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Contents of this page:

Illustrations

Eye
Eye

Alternative Names    Return to top

Red eye

Definition    Return to top

Subconjunctival hemorrhage is a bright red patch appearing in the white of the eye. This condition is also called red eye.

Causes    Return to top

A subconjunctival hemorrhage occurs when a small blood vessel breaks open and bleeds near the surface of the white of the eye (bulbar conjunctiva). It may happen without injury, and is often first noticed when you wake up and look in a mirror.

Sudden increases in pressure such as violent sneezing or coughing can cause a subconjunctival hemorrhage. The hemorrhage may also occur in persons with high blood pressure or who take blood thinners.

A subconjunctival hemorrhage is common in newborn infants. In this case, the condition is thought to be caused by the pressure changes across the infant's body during childbirth.

Symptoms    Return to top

A bright red patch appears on the white of the eye. The patch does not cause pain and there is no discharge from the eye. Vision does not change.

Exams and Tests    Return to top

The health care provider will perform a physical exam and look at your eyes.

Blood pressure should be tested. If you have other areas of bleeding or bruising, more specific tests may be needed.

Treatment    Return to top

No treatment is needed. You should have your blood pressure regularly checked.

Outlook (Prognosis)    Return to top

A subconjunctival hemorrhage usually goes away on its own in about 1 week.

Possible Complications    Return to top

There are usually no complications.

When to Contact a Medical Professional    Return to top

Call your health care provider if a bright red patch appears on the white of the eye.

Prevention    Return to top

There is no known prevention.

References    Return to top

Behrman RE. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders; 2004; 1045.

Yanoff M, Duker JS, Augsburger JJ, et al. Ophthalmology. 2nd ed. St. Louis, Mo: Mosby; 2004:404-411.

Update Date: 2/22/2007

Updated by: Manju Subramanian, MD, Assistant Professor in Ophthalmology, Vitreoretinal Disease and Surgery, Boston University Eye Associates, Boston, MA. Review provided by VeriMed Healthcare Network.

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