Subconjunctival hemorrhage (SCH) is bleeding from small blood vessels underneath the conjunctiva, the thin clear skin covering the sclera (white part) of the eye.
SCH is diagnosed cli...
Usually, the patient notices redness in the mirror or another person mentions it to the patient.
Generally, patients do not have ocular symptoms.
May complain of mild irritation or fore...
Reassurance is important.
SCH self-resolves with time.
Artificial tears can be used four times a day as needed for eye irritation (3)[C].
Control blood glucose.
Follow up only if the area does not resolve in about 2 weeks.
If SCH recurs, then work up patient for systemic sources such as bleeding disorders (3)[C] or diabet...
H11.30 Conjunctival hemorrhage, unspecified eye
H11.31 Conjunctival hemorrhage, right eye
H11.32 Conjunctival hemorrhage, left eye
H11.33 Conjunctival hemorrhage, bilateral
SCH is a clinical diagnosis. The condition is typically asymptomatic and will self-resolve within 2 weeks.
Risk factors include trauma, intense Valsalva, HTN, and diabetes.
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