Sub-Conjuctival Hemorrhages

Hello to every one,

It has been a blissful weekend, the month of August seems to come with good promises and lots of goodies, and even as the crypto world awaits the bitcoin halving Hive continues to thrive because we got what it takes to take on the planet.

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That said though, I do hope that you my dear reader are having a good time and that all is well with you and your family, we are getting into another beautiful week and I am optimistic that things will continue to be fruitful for all of us.

Today I will be talking about a prevalent eye condition that you may have experienced before, perhaps you just didn't know that that is it, I do hope that you enjoy the read and that you learn a thing or two.


Sub-Conjunctival Hemorrhages


The condition literally translates as a break in the blood barrier of the conjunctival resulting in blood being present in the eye. Yes, mostly when people develop this condition they start to panic because blood on the eye is definitely not a pleasant thing to notice, and due to its position over the sclera which is the white part of the eye, it is quite conspicuous.

When you look in the mirror you can see it and when you step out everyone who looks at your eye wonders what's wrong with your eyes and may keep asking you if you are ok. This is kind of good for eye care providers when this is noticed like that because then the individual would definitely come in for a checkup and although subconjunctival hemorrhage or ecchymosis as is known in the eyecare industry is not much of a threat it provides an avenue for care.

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There are many patients I have seen in the clinic who may never have come in for eye care had they not developed this condition at some point. Some were lucky enough to have had their glaucoma condition caught as a result and to be put on medication which literally saves their sight for the foreseeable future but let's get back to the condition of the day.

So as described blood is visible on your eye and in severe cases it could cover a greater portion of the white part of the eye or the whole sclera but it is mainly localized to a particular location. It doesn't really cause much of a symptom aside from the discomfort of seeing your eyes with blood on them however based on the cause you could experience some mild pains and other sensations.

The most common cause would be trauma to the eye, whether you got hit in a fight or you hit your eyes accidentally either could produce a subconjunctival hemorrhage. Then there are causes like inflammations of the conjunctival, spontaneous rapture from underlying conditions like hypertension or even sneezing too strong, and then there are causes like bleeding disorders and anemias.

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image source

Ecchymosis doesn't really cause much of a problem and in most cases, it tends to resolve on its own after a while when the system reabsorbs the blood back, however, it is very much recommended to get yourself checked especially when the cause is as a result of trauma since this could result in other conditions such as uveitis and cataract which are more sight-threatening.

If there happen to be no other issues, then a warm compress could help with the reabsorption quicker, you may also be given some eye drops to facilitate the process and maybe some painkillers to ease any pain you have.


Conclusion


Ecchymosis could initially present in a way that could cause you to panic however I would say just keep calm and get yourself checked out as soon as you notice this and be well to follow management protocol as advised by your Optometrist accordingly.

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image by @nattybongo

When in doubt, always speak to a professional, please avoid over-the-counter medication without care, and be well to have your eyes checked at least twice every year. It was a pleasure serving you again today and I do hope you have a wonderful time.


Further Reading

Doshi , R., & Noohani, T. (2023). Subconjunctival Hemorrhage. In StatPearls. StatPearls Publishing..

Parikh, A. O., Christian, C. W., Forbes, B. J., & Binenbaum, G. (2022). Prevalence and Causes of Subconjunctival Hemorrhage in Children. Pediatric emergency care, 38(8), e1428–e1432. https://doi.org/10.1097/PEC.0000000000002795.

Knopf, H. L., Carter, K., & Prokopius, M. J. (2006). Recurrent subconjunctival hemorrhage. Comprehensive ophthalmology update, 7(3), 155–156.

Mimura, T., Yamagami, S., Mori, M., Funatsu, H., Usui, T., Noma, H., & Amano, S. (2010). Contact lens-induced subconjunctival hemorrhage. American journal of ophthalmology, 150(5), 656–665.e1. https://doi.org/10.1016/j.ajo.2010.05.028.



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