Subconjunctival hemorrhage - Revision history

Rossdonaldson1 at 02:06, 8 August 2024

2024-08-08T02:06:05Z

← Older revision		Revision as of 02:06, 8 August 2024
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	*Clinical diagnosis		*Clinical diagnosis
	*Consider fluorescein staining to evaluate for corneal injury if suggested by history or if patient complains of pain<ref name="Mahmood" />		*Consider fluorescein staining to evaluate for corneal injury if suggested by history or if patient complains of pain<ref name="Mahmood" />
	*For recurrent or persistent subconjunctival hemorrhage, further evaluation, including workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies, and drug side effects, is warranted.		*For recurrent or persistent subconjunctival hemorrhage, further evaluation, including workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies, and drug side effects, is warranted.<ref>Tarlan B and Kiratli H. Subconjunctival hemorrhage: risk factors and potential indicators. Clin Ophthalmol. 2013; 7: 1163–1170. Published online 2013 Jun 12. doi: 10.2147/OPTH.S35062.</ref>

	==Management==		==Management==

Rossdonaldson1: /* Evaluation */

2024-08-08T02:05:26Z

Evaluation

← Older revision		Revision as of 02:05, 8 August 2024
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	*Clinical diagnosis		*Clinical diagnosis
	*Consider fluorescein staining to evaluate for corneal injury if suggested by history or if patient complains of pain<ref name="Mahmood" />		*Consider fluorescein staining to evaluate for corneal injury if suggested by history or if patient complains of pain<ref name="Mahmood" />
			*For recurrent or persistent subconjunctival hemorrhage, further evaluation, including workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies, and drug side effects, is warranted.

	==Management==		==Management==

Rossdonaldson1 at 02:03, 8 August 2024

2024-08-08T02:03:38Z

← Older revision		Revision as of 02:03, 8 August 2024
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	**Need to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />		**Need to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />
	*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis and uncontrolled hypertension workup		*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis and uncontrolled hypertension workup

			===Risk Factors<ref>Tarlan B and Kiratli H. Subconjunctival hemorrhage: risk factors and potential indicators. Clin Ophthalmol. 2013; 7: 1163–1170. Published online 2013 Jun 12. doi: 10.2147/OPTH.S35062.</ref>===
			*[[Ocular trauma]]
			*Contact lens usage
			*Systemic vascular diseases
			**[[Hypertension]]
			**[[Diabetes]]
			**Arteriosclerosis

	==Clinical Features==		==Clinical Features==
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	==Management==		==Management==
	*Reassurance (will generally resolve within 10-14d)<ref name="Mahmood" />		*Reassurance (will generally resolve within 10-14d)<ref name="Mahmood" />

			==Disposition==
			*Outpatient

	==See Also==		==See Also==

Beren85: /* Background */

2024-07-31T06:17:34Z

Background

← Older revision		Revision as of 06:17, 31 July 2024
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	*If large and associated with trauma, see [[hemorrhagic chemosis]]		*If large and associated with trauma, see [[hemorrhagic chemosis]]
	**Need to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />		**Need to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />
	*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis workup		*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis and uncontrolled hypertension workup

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Clinical Features */

2023-03-01T23:04:43Z

Clinical Features

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	[[File:Eye hemorrhage.jpg\|thumb\|Subconjunctival hemorrhage]]		[[File:Eye hemorrhage.jpg\|thumb\|Subconjunctival hemorrhage]]
	[[File:PMC3700149 NJMS-3-152-g005.png\|thumb\|Subconjunctival hemorrhage]]		[[File:PMC3700149 NJMS-3-152-g005.png\|thumb\|Subconjunctival hemorrhage]]
			[[File:PMC3884183 cop-0004-0180-g02.png\|thumb\|Bilateral subconjunctival hemorrhage: (a) at presentation, (b) after 5 days, and (c) complete resolution after 1 month.]]
	*Painless		*Painless
	*No effect on vision		*No effect on vision

Rossdonaldson1: /* Clinical Features */

2023-03-01T22:49:21Z

Clinical Features

← Older revision		Revision as of 22:49, 1 March 2023
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	*Painless		*Painless
	*No effect on vision		*No effect on vision
	*~~May~~ recall a history of mild trauma or valsalva		*Frequently atraumatic, although may recall a history of mild trauma or valsalva
	*Examination		*Examination
	**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>		**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>

Rossdonaldson1: /* Background */

2023-03-01T22:48:53Z

Background

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	*Can be spontaneous or related to trauma		*Can be spontaneous or related to trauma
	**Spontaneous can be secondary to [[anticoagulation]], [[coagulopathy\|bleeding diathesis]], etc.		**Spontaneous can be secondary to [[anticoagulation]], [[coagulopathy\|bleeding diathesis]], etc.
	*If large and associated with [[~~ocular trauma\|trauma~~]]~~, need~~ to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />		*If large and associated with trauma, see [[hemorrhagic chemosis]]
			**Need to maintain suspicion for occult [[globe rupture]] (obscured by hemorrhage)<ref name="Mahmood" />
	*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis workup		*Bilateral and recurrent subconjunctival hemorrhage should have bleeding diathesis workup

Rossdonaldson1: /* Clinical Features */

2023-03-01T22:43:42Z

Clinical Features

← Older revision		Revision as of 22:43, 1 March 2023
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	**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>		**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>
	**Masks the conjunctival vessels		**Masks the conjunctival vessels
	*Not significantly raised (see [[hemorrhagic chemosis]] if large amount raised)		*''Not'' significantly raised (see [[hemorrhagic chemosis]] if large amount raised)

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2023-03-01T22:43:17Z

Clinical Features

← Older revision		Revision as of 22:43, 1 March 2023
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	**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>		**Fresh red blood on a white sclera with clear borders<ref name="Mahmood">Mahmood, Ahmed R., and Aneesh T. Narang. "Diagnosis and management of the acute red eye." Emergency medicine clinics of North America 26.1 (2008): 35-55.</ref>
	**Masks the conjunctival vessels		**Masks the conjunctival vessels
			*Not significantly raised (see [[hemorrhagic chemosis]] if large amount raised)

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* See Also */

2023-03-01T22:11:51Z

← Older revision		Revision as of 22:11, 1 March 2023
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	==See Also==		==See Also==
	*[[Eye Algorithm (Main)]]		*[[Eye Algorithm (Main)]]
			*[[Hemorrhagic chemosis]]

			==External Links==

	==References==		==References==