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:
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...
Control blood glucose.
Wear protective eyewear.
If a penetrating...
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].
Mimura T, Usui T, Yamagami S, et al. Subconjunctival hemorrhage and conjunctivochalasis. Ophthalmology. 2009;116(10):1880–1886. [View Abstract on OvidMedline]
Mimura T, Yamaga...
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 resolve spontaneously within 2 weeks.
Always check BP in a patient with SCH, as HTN is a known risk factor.
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