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Subconjunctival Hemorrhage

Carrie Valenta, MD, FACP, FHM and Colin E. Brown, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Subconjunctival hemorrhage (SCH) is bleeding from small blood vessels underneath the conjunctiva, the thin clear skin covering the sclera of the eye.

  • SCH is diagnosed clinically:

    • Flat,...

DIAGNOSIS

HISTORY

  • Generally asymptomatic; usually, the patient notices redness in the mirror or another person mentions it to the patient.

  • May complain of irritation or foreign body sensation

  • Little to n...

TREATMENT

GENERAL MEASURES

  • Control BP.

  • Control blood glucose.

  • Control INR.

  • Wear protective eyewear.

MEDICATION

No prescription medications are useful in treatment of SCH. 

ISSUES FOR REFERRAL

  • If a penetrating...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow up only if the area does not resolve within 2 weeks.

  • If SCH recurs, then work up patient for systemic sources such as bleeding disorders (5)[C].

PATIENT EDUCATION

REFERENCES

1
Tarlan B, Kiratli H. Subconjunctival hemorrhage: risk factors and potential indicators. Clin Ophthalmol.  2013;7:1163–1170. [View Abstract on OvidMedline]
2
Mimura T, Usui T, Yamagami S...

ADDITIONAL READING

  • Mimura T, Usui T, Yamagami S, et al. Subconjunctival hemorrhage and conjunctivochalasis. Ophthalmology.  2009;116(10):1880–1886. [View Abstract on OvidMedline]

  • Mimura T, Yamagam...

CODES

ICD10

  • H11.30 Conjunctival hemorrhage, unspecified eye

  • H11.31 Conjunctival hemorrhage, right eye

  • H11.32 Conjunctival hemorrhage, left eye

  • H11.33 Conjunctival hemorrhage, bilateral

ICD9

372.72 Conjuncti...

CLINICAL PEARLS

  • SCH is a clinical diagnosis. The condition is typically asymptomatic and will resolve spontaneously within 2 weeks.

  • Always check BP in a patient with SCH because HTN is a known risk fac...

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