There are several causes of a red eye including infections and inflammations, trauma and congestive glaucoma. However, a subconjunctival hemorrhage is the most common cause of a red eye.
A subconjunctival hemorrhage occurs when a small blood vessel under the conjunctiva breaks and bleeds. It may occur spontaneously or from coughing, heavy lifting, or vomiting. In some cases, it may develop following eye surgery or trauma. Subconjunctival hemorrhage tends to be more common among those with diabetes and hypertension.
While it may look frightening, a subconjunctival hemorrhage is essentially harmless. The blood becomes trapped underneath the clear conjunctival tissue, much like a bruise. The blood is visible because it shows through the thin, clear conjunctiva. The blood naturally absorbs within one to three weeks and no treatment is required.
- • Red, bloody patch on the white of the eye
- • Painless
- • No change in vision
Most patients notice the subconjunctival hemorrhage when looking in the mirror, or friend or family member points it out.
Although it may look like an emergency, a subconjunctival hemorrhage does not affect the vision and no treatment is required.
While there is no cure for glaucoma, elevated IOP is currently the only treatable risk factor. It is important to treat aggressively with the most effective products such as prescription eye drops that can provide maximum reduction of elevated IOP with long term control. In some cases, surgery can also help. It is important for patients to use medication as prescribed and maintain regular examinations with an ophthalmologist who can evaluate glaucoma progression and treatment options.
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