Sub-Conjunctival Bleed
Sub-conjunctival bleeds are typically harmless but can be alarming. Contact us to book a consultation and receive expert care at The Forbury Clinic.
Overview
A sub-conjunctival bleed, also known as a subconjunctival hemorrhage, occurs when a tiny blood vessel breaks just underneath the clear surface of your eye (the conjunctiva). It can appear alarming, but it is usually harmless and resolves on its own. Timely evaluation and understanding the cause is essential to ensure there are no underlying issues. If you experience a sub-conjunctival bleed, The Forbury Clinic offers expert care to assess and manage your condition effectively. Addressing this condition promptly can alleviate concerns and ensure your overall eye health.
What is Sub-Conjunctival Bleed?
A sub-conjunctival bleed is a condition where blood leaks underneath the conjunctiva, the transparent layer covering the white part of the eye. This results in a bright red patch on the white of the eye. The condition is usually painless and does not affect vision.
Common symptoms include:
- A visible bright red patch on the sclera (white part of the eye)
- Mild irritation or scratchy sensation
- No discharge or vision changes
Although the appearance can be startling, sub-conjunctival bleeds are generally benign and self-limiting.
Causes and Risk Factors
Causes
Sub-conjunctival bleeds can occur due to various reasons, including:
Sudden increases in blood pressure from coughing, sneezing, heavy lifting, or straining
Trauma or injury to the eye
Rubbing the eye vigorously
Certain medications like blood thinners
Blood clotting disorders
Risk factors contributing to the development of sub-conjunctival bleeds include:
Hypertension (high blood pressure)
Diabetes
Use of anticoagulant or antiplatelet medications
Trauma or injury to the eye
Recent eye surgery or procedure
Diagnosis
Diagnosing a sub-conjunctival bleed typically involves a straightforward examination. Key diagnostic steps include:
- Visual Inspection: A thorough examination of the eye to assess the extent of the hemorrhage
- Medical History Review: Discussing any recent injuries, medications, or medical conditions that may contribute to the bleed
- Blood Pressure Measurement: Checking for hypertension, a common underlying cause
- Additional Tests: In rare cases, blood tests or imaging studies may be necessary if an underlying bleeding disorder is suspected
Treatment Options
Sub-conjunctival bleeds usually do not require treatment and resolve on their own within one to two weeks. However, managing the condition and addressing underlying causes is important. At The Forbury Clinic, we offer the following treatment options:
Observation:
Monitoring the bleed as it resolves naturally
Artificial Tears:
Lubricating eye drops to relieve any irritation or discomfort
Management of Underlying Conditions:
Treating hypertension, diabetes, or adjusting medications that may contribute to the condition
Avoiding Trauma:
Advising patients to avoid rubbing the eyes or engaging in activities that may lead to further injury
Managing Sub-Conjunctival Bleed
Managing a sub-conjunctival bleed involves simple, non-invasive steps:
Rest and Reassurance:
Understanding that the condition is usually harmless and self-limiting
Avoid Straining:
Minimising activities that increase blood pressure such as heavy lifting or intense exercise
Proper Eye Care:
Using lubricating drops to soothe irritation and avoiding rubbing the eyes
Follow-up:
Regular check-ups to monitor eye health and ensure there are no recurring issues
Complications and Prognosis
Sub-conjunctival bleeds are generally benign with an excellent prognosis. Possible complications are rare but can include:
- Recurrence if underlying issues are not addressed
- Persistent irritation if the bleed is extensive
The prognosis is usually very good, with most bleeds resolving without intervention. It is essential to monitor for any recurrent episodes and manage underlying health conditions to prevent future bleeds.
Why Choose The Forbury Clinic?
The Forbury Clinic offers specialised care for all eye conditions, including sub-conjunctival bleeds. Our team of expert ophthalmologists uses cutting-edge technology to ensure accurate diagnosis and effective management. We are dedicated to providing patient-centred care, ensuring each patient receives personalised attention and treatment. Choosing The Forbury Clinic means benefiting from our comprehensive services, experienced staff, and a commitment to your eye health and well-being.
