What is a subconjunctival hemorrhage. How does a burst blood vessel in the eye occur. When should you seek medical attention for a subconjunctival hemorrhage. What are the treatment options for a burst eye blood vessel.

Understanding Subconjunctival Hemorrhage: The Burst Blood Vessel in Your Eye

A subconjunctival hemorrhage, commonly known as a burst blood vessel in the eye, is a condition that can cause alarm due to its dramatic appearance. However, it’s usually harmless and resolves on its own. This article delves into the causes, symptoms, and treatment of this eye condition to provide you with comprehensive information.

What is a Subconjunctival Hemorrhage?

A subconjunctival hemorrhage occurs when a small blood vessel breaks under the conjunctiva, the clear membrane covering the white part of the eye (sclera). The blood becomes trapped between the conjunctiva and the sclera, creating a bright red patch on the eye’s surface.

Anatomy of the Eye in Relation to Subconjunctival Hemorrhage

The conjunctiva is a thin, transparent layer that covers the sclera and the inner surface of the eyelids. It contains numerous tiny blood vessels that are usually barely visible. When one of these vessels ruptures, it leads to a subconjunctival hemorrhage.

Causes and Risk Factors of Subconjunctival Hemorrhage

Subconjunctival hemorrhages can occur spontaneously or due to various factors. Understanding these causes can help in prevention and management of the condition.

Common Causes of Burst Eye Blood Vessels

• Sudden increase in blood pressure
• Violent coughing or sneezing
• Straining during bowel movements
• Heavy lifting
• Vigorous eye rubbing
• Trauma to the eye

Risk Factors for Subconjunctival Hemorrhage

Certain conditions and medications can increase the likelihood of experiencing a subconjunctival hemorrhage:

• Hypertension (high blood pressure)
• Diabetes
• Blood-thinning medications (e.g., aspirin, warfarin)
• Bleeding disorders
• Eye infections or inflammations

Recognizing the Symptoms of a Subconjunctival Hemorrhage

The primary symptom of a subconjunctival hemorrhage is a bright red patch on the white of the eye. This patch may start small and spread to cover a larger area over time. Despite its alarming appearance, a subconjunctival hemorrhage typically doesn’t cause pain or vision changes.

What Does a Subconjunctival Hemorrhage Feel Like?

Most people with a subconjunctival hemorrhage don’t experience any discomfort. Some may feel a slight sense of fullness in the affected eye or under the eyelid. Vision remains unaffected unless the hemorrhage is due to trauma or involves bleeding inside the eye.

Diagnosis and Medical Assessment of Subconjunctival Hemorrhage

Diagnosing a subconjunctival hemorrhage is typically straightforward and can often be done through a simple visual examination. However, in some cases, further assessment may be necessary.

When to Seek Medical Attention

While most subconjunctival hemorrhages resolve on their own, there are instances when medical attention is advisable:

1. The hemorrhage doesn’t improve within two weeks
2. You experience multiple subconjunctival hemorrhages
3. The hemorrhage occurs in both eyes simultaneously
4. You have a history of bleeding disorders or high blood pressure
5. The hemorrhage is accompanied by pain or vision changes
6. There’s a history of recent eye trauma

Treatment Options for Subconjunctival Hemorrhage

In most cases, a subconjunctival hemorrhage doesn’t require specific treatment and will resolve on its own within 1-2 weeks. However, there are measures you can take to alleviate any discomfort and promote healing.

Home Care for Burst Eye Blood Vessels

• Apply artificial tears or lubricating eye drops to soothe any irritation
• Use a cool compress to reduce any swelling or discomfort
• Avoid rubbing your eyes to prevent further irritation
• Protect your eyes from dust and other irritants

Medical Interventions for Subconjunctival Hemorrhage

In rare cases where the hemorrhage is severe or recurring, your eye doctor may recommend:

• Blood tests to check for underlying bleeding disorders
• Medications to address any underlying conditions (e.g., hypertension)
• Adjustments to current medications that may be contributing to the problem

Prevention Strategies for Subconjunctival Hemorrhage

While it’s not always possible to prevent a subconjunctival hemorrhage, certain measures can reduce your risk:

• Manage underlying health conditions like hypertension and diabetes
• Avoid excessive straining during physical activities
• Use proper eye protection during sports or hazardous activities
• Practice good eye hygiene and avoid rubbing your eyes vigorously
• If you’re on blood-thinning medications, follow your doctor’s instructions carefully

Long-term Outlook and Potential Complications

The prognosis for subconjunctival hemorrhage is generally excellent. Most cases resolve completely within 1-2 weeks without any lasting effects. The blood is gradually absorbed by the body, and the eye returns to its normal appearance.

Potential Complications of Subconjunctival Hemorrhage

While rare, complications can occur, especially if the hemorrhage is due to trauma or an underlying condition:

• Recurrent hemorrhages
• Scarring of the conjunctiva
• Infection (if the hemorrhage is due to injury)

Frequently Asked Questions About Subconjunctival Hemorrhage

To address common concerns about subconjunctival hemorrhage, here are answers to frequently asked questions:

Can a subconjunctival hemorrhage spread?

Yes, a subconjunctival hemorrhage can appear to spread. The blood may start in a small area and gradually expand to cover more of the eye’s white part. This is normal and not a cause for concern.

How long does it take for a burst blood vessel in the eye to heal?

Typically, a subconjunctival hemorrhage takes 1-2 weeks to heal completely. The red patch may look worse before it gets better as the body absorbs the blood.

Can stress cause a subconjunctival hemorrhage?

While stress itself doesn’t directly cause subconjunctival hemorrhages, it can lead to increased blood pressure, which is a risk factor for this condition.

Is a subconjunctival hemorrhage painful?

Generally, a subconjunctival hemorrhage is not painful. Some people may experience a slight feeling of fullness in the affected eye, but severe pain is not typical and should prompt medical attention.

Understanding subconjunctival hemorrhage can help alleviate concerns when faced with this startling but usually harmless condition. By recognizing the symptoms, knowing when to seek medical attention, and following proper care instructions, you can ensure the best outcome for your eye health. Remember, while a burst blood vessel in the eye can look alarming, it’s typically a benign condition that resolves on its own with time and patience.

Subconjunctival Hemorrhage – Eye Diseases and Conditions – Services – WK Eye Institute – TOP Eye Doctors – TOP Ophthalmologists – TOP Optometrists – Your Eye Specialists in Shreveport Bossier City – Best Eye Care Center – Shreveport – Bossier City Louisiana

The conjunctiva is the thin, moist, transparent membrane that covers the white part of the eye (called the sclera). The
conjunctiva is the outermost protective coating of the eyeball. The conjunctiva contains nerves and many small blood vessels. These
blood vessels are usually barely visible but if inflamed these vessels will be larger and more visible. These blood vessels are
somewhat fragile, and their walls may break resulting in a subconjuctival hemorrhage (bleeding under the conjunctiva).

Generally a subconjunctival hemorrhage occurs spontaneously and will appear as if the blood is trapped in and around the white
of the eye. Often the blood may start in a small area on the white of the eye, it may spread and include the entire white of
the eye. Since the blood is trapped between two layers of tissue (like a bruise) your body has to absorb it. It may take as
much as 10 – 14 days for the hemorrhage to completely dissolve and the hemorrhage may look worse before better.

Often, a person discovers a subconjunctival hemorrhage when looking in the mirror or by another person seeing the red spot on your eye.

The following can occasionally result in spontaneous subconjunctival hemorrhage: 

• Sneezing
• Coughing 
• Straining/vomiting 
• Eye rubbing 
• Trauma 
• High Blood Pressure 
• Bleeding Disorder (a medical disorder causing bleeding or inhibiting normal clotting)

When the bleeding first occurs, you may experience a sense of fullness in the eye or under the lid. Your vision will
not be affected unless the hemorrhage is due to trauma or involving bleeding on the inside of the eye.

When to seek medical care:

Call your eye doctor if the subconjunctival hemorrhage is not better within two weeks or if you have
multiple subconjunctival hemorrhages.

If you have a hemorrhage in both eyes at the same time or the subconjunctival hemorrhage coincides with other bleeding, including
easy bruising, bleeding gums or both.

Seek immediate attention from your eye doctor or emergency department if your subconjunctival hemorrhage is associated
with any of the following: 

• Pain associated with the hemorrhage
• Changes in your vision ( blurry vision, double vision, difficulty seeing) 
• History of a bleeding disorder 
• History of high blood pressure 
• Injury from trauma to the eye

The following WK Eye Institute doctors treat this condition:

• Ashley Wheat Sipes, M. D.
  
  Ophthalmologist
  
  North, Pierremont
  




• David D. Bryan, M.D.
  
  Ophthalmologist
  
  Pierremont
  




• Wyche T. Coleman, III, M.D.
  
  Ophthalmologist
  
  South
  




• Christopher L. Shelby, M.D.
  
  Ophthalmologist
  
  North, Pierremont
  




• James P. Swearingen, Jr., M.D.
  
  Ophthalmologist
  
  Pierremont
  




• Stephen W. Lewis, O.D.
  
  Optometrist
  
  North
  




• John Luka, O. D.
  
  Optometrist
  
  Pierremont
  

Burst blood vessel in the eye: Causes and treatment

A burst blood vessel in the eye, or subconjunctival hemorrhage (SCH), causes a patch of blood to appear on the white part of the eye. In most cases, it is harmless and goes away on its own.

Often, doctors do not know what causes a burst blood vessel in the eye, but it can occur due to the use of contact lenses, an injury, or intense exercise or straining. Some people have an increased risk of SCH due to a medication or health condition.

This article discusses burst blood vessels in the eye and their causes and treatments. It also covers when someone should seek medical help.

SCH is the medical term for when a tiny blood vessel in the eye bursts, allowing a small amount of blood to leak onto the sclera, or the white part of the eye.

The sclera has many minute blood vessels that can break and bleed easily. They are protected by the conjunctiva, which is a thin, transparent layer of tissue that covers the eye. When a blood vessel breaks, blood pools under the conjunctiva, meaning it is visible but trapped under this layer of tissue.

Usually, a burst blood vessel in the eye is harmless. In most cases, the mark on the eye will go away on its own with time, as the blood naturally disperses.

The eye may be red for a while, but this should begin to fade over the next 1–2 weeks.

Occasionally, SCH can be a sign of an underlying condition. This is more likely if the bleeding is persistent or recurs often.

The main symptom of SCH is a red patch appearing on the white of the eye.

At first, the patch may be an opaque red with clear borders, before becoming faded and less distinct. The eye may develop a bruised or yellow appearance as the hemoglobin and other blood components break down.

Usually, SCH is painless and does not affect vision, although it may cause a swollen or scratchy feeling. It typically only affects the whites of the eyes, not the iris or pupil.

Doctors categorize the potential causes of SCH into two groups: traumatic and spontaneous.

Traumatic

In this context, the word “traumatic” refers to a physical trauma or injury that affects the eye, causing a small blood vessel to break. Foreign objects getting into the eye or harsh rubbing of the eyes are some common examples.

Another common cause of this type of injury is the use of contact lenses. As contact lenses have become more popular, the incidence of traumatic SCH has also increased.

This can occur by accident when applying or removing the lens or due to issues with the lens itself, such as surface deposits or defects that may cause friction.

If people use disposable contact lenses for longer than the manufacturer advises, this may also contribute to SCH. This is because the materials in these lenses start to break down at the edges over time, causing rougher edges.

In addition, people who wear contact lenses can sometimes develop eye conditions that disrupt the flow of tears, causing inflammation or dryness. These include:

• conjunctivochalasis, which is when excess conjunctival tissue develops on the eye
• pinguecula, which is a noncancerous growth on the conjunctiva
• superficial punctate keratitis, which happens when corneal cells die, causing pain and light sensitivity

Ocular surgeries, including cataract and refractive surgery, can also increase an individual’s risk of SCH. According to research, around 1–2% of newborn babies may have SCH following a vaginal birth.

Conditions that lead to eye rubbing, such as dry eye syndrome, allergies, and blepharitis, can also be contributing factors. These conditions cause eye discomfort and then eye rubbing, which can be involuntary or during sleep and can cause the blood vessels to burst.

Spontaneous

According to research, in almost half of all cases, doctors do not identify a cause of SCH. Experts call these cases spontaneous, because they occur for no apparent reason. Another term for this is “idiopathic. ”

Sometimes, a blood vessel bursts in the eye when blood pressure suddenly increases. This can happen when someone coughs, vomits, or takes part in strenuous exercise, such as lifting heavy weights.

Some health conditions can also be responsible for a burst blood vessel in the eye. Hypertension, or high blood pressure, can cause this to happen even if a person is taking medication to manage the condition. Other vascular disorders, such as diabetes and hyperlipidemia, can also increase the risk.

Some other conditions that doctors associate with SCH are:

• enterovirus 70
• Stevens-Johnson syndrome
• hemochromatosis
• Kaposi’s sarcoma
• dermatologic vasculature diseases, such as pyogenic granuloma, telangiectasias, and hemangiomas

Some medications, including nonsteroidal anti-inflammatory drugs and anticoagulants, such as warfarin or heparin, may also make burst blood vessels more likely.

The research mentioned above states that the recurrence rate for spontaneous SCH is about 10% in people with no identifiable risk factors.

SCH usually does not require treatment. If it is causing discomfort, a person can use ice packs on a closed eye to reduce this. They can also use artificial tears to improve dryness.

However, if someone has a burst blood vessel in the eye frequently, this may indicate an underlying condition that does require treatment. How a doctor approaches treatment will depend on the root cause, which they can diagnose.

Individuals who experience SCH due to head trauma may require a specialist consultation with an ophthalmologist.

After SCH, the body naturally reabsorbs the blood in the eye over 1–2 weeks, depending on the size of the hemorrhage.

If an individual uses an anticoagulation medication, it may take longer to resolve, at around 3 weeks.

Most SCH cases resolve on their own and are not a sign of serious illness.

However, if the condition develops after someone experiences a head or facial injury, they should seek medical attention. A doctor can monitor for signs of concussion or damage to the eyes.

If a person experiences any other symptoms alongside the burst blood vessel, they should also contact a healthcare professional. Examples of symptoms that may be a cause for concern include:

• pain
• increasing swelling
• vision loss
• unexplained bleeding or bruising on other parts of the body

If SCH happens often, and a doctor has not checked an individual’s blood pressure for a while, they should ask a doctor to do this.

Doctors refer to a burst blood vessel in the eye as SCH. It is typically a harmless condition that resolves by itself in 1–2 weeks. Usually, the only symptom is a patch of blood beneath the conjunctiva, which is the transparent lining of the eye.

SCH often has no identifiable cause. It may be spontaneous or due to trauma, including contact lens wear.

Although a burst blood vessel in the eye is not serious in itself, it may indicate an underlying health condition that requires evaluation by a doctor.

If an individual experiences recurring SCH, the condition does not resolve, or they experience other symptoms, they should seek medical attention.

Blood vessels burst in the eye – causes and treatment

Why blood vessels burst in the eyes

Symptoms of hemorrhages in the eye

What are the types of hemorrhages in the eye

Causes of hyposphagmus

How to behave if blood vessels in the eye burst, and there was a hemorrhage

Diagnosis of eye hemorrhage/a>

Treatment of ruptured blood vessels and hemorrhage

Treatment of retinal hemorrhages

Prevention of ruptured vessels in the eye

A vessel burst in the eye causes hemorrhage in the eye, which is accompanied by accumulation of blood clots under the conjunctiva, the connective membrane of the eye, in the vitreous body, in the chambers of the eye. Such hemorrhages are caused by the fact that the vessels lose their integrity. Why is this happening?

Why blood vessels burst in the eyes

The reasons why blood vessels burst in the eyes can be very diverse. Typically, this is due to the following factors:

• traumatic eye injuries, mechanical injuries, head injuries. Injuries can be penetrating or non-penetrating. When penetrating, the eye is damaged, starting from the cornea and further along the internal structures of the eye. Often such injuries are caused by blows with piercing tools: knives, needles and other dangerous objects. Non-penetrating injuries are usually associated with blunt force trauma. Such a blow is similar to concussion and can cause severe dizziness, even a concussion;;
• possible consequences of ophthalmic operations;
• vascular anomalies: hemorrhages can also occur due to the growth of new eye vessels, which have fragile walls, are more prone to fragility and rupture. Due to ruptures of the vascular walls, hemorrhage can occur in the cavity between the iris and cornea;
• infectious diseases – conjunctivitis, keratitis, chorioretinitis and other inflammatory diseases that can occur in different structures of the eye: in the area of ​​the conjunctiva, iris, choroid, vitreous body;
• eye diseases such as cataracts, glaucoma, retinal diseases;
• increased intracranial pressure against the background of pathological processes in the brain;
• increased blood pressure;
• diseases that cause the process of blood clotting, as well as due to taking drugs that can thin the blood;
• acute attack of glaucoma;
• intense physical activity;
• acute attack of vomiting.

Bursting blood vessels can also be caused by oncological diseases, diabetes mellitus, hypertensive crisis, retinal blood clots.

Eye hemorrhage symptoms

If the hemorrhage occurs under the conjunctiva or in the area between the iris and cornea, it is easy to see with the naked eye, just by looking in the mirror. With such a hemorrhage, it is easy to notice that red dots and spots have appeared. A person, as a rule, does not feel pain.

In addition to the presence of red spots and dots as a result of broken capillaries, a person often experiences a sensation of the presence of a foreign object in the eye, which can cause severe discomfort.

In cases where a hemorrhage has occurred on the retina or in the vitreous body, it is not visually determined, this can only be done by an ophthalmologist. But such a hemorrhage can manifest itself as a visual impairment: flies, black dots appear, blurred vision occurs, a reddish veil appears, the clarity of the contours disappears, the eyes become sensitive to light up to lacrimation, with abundant hemorrhage, vision can significantly decrease, up to complete blindness.

If a large amount of blood is released into the eye during a hemorrhage, exophthalmos, a condition in which the eyeball protrudes forward, may develop.

What are the types of hemorrhages in the eye

Ocular hemorrhages are classified according to the localization of blood in the structures of the eye.

Hyposphagma

This type is characterized by hemorrhage into the conjunctiva, blood clots accumulate in the gap between the sclera and the conjunctiva, the connective membrane of the eye. This diagnosis is called “subconjunctival hemorrhage in the eye.”

Accumulation of blood clots in this case is provoked by bursting of capillaries.

Causes of hyposphagmus

• Trauma to the eye, a sharp blow to the eye.
• Blood clotting disorders, which may also be caused by drugs that thin the blood, as well as hemophilia, an inherited disorder of the blood clotting process.
• Infectious eye diseases.
• The result of ophthalmic operations.
• Diabetes mellitus, atherosclerosis.

Hyposphagma is considered one of the most harmless types of hemorrhages in the eye. It dissolves gradually on its own, without causing, as a rule, pain. But this does not mean that you do not need to contact an ophthalmologist. It is impossible to understand what caused the hemorrhage.

Hyphema

In this case, the hemorrhage is localized in the area between the iris, the anterior part of the eyeball, in the anterior chamber of the eye. With hyphema, blood enters the chamber and partially or completely fills it. In most cases, hyphema is due to vascular ruptures, most often due to eye injury.

Hemophthalmos

Hemophthalmos is characterized by hemorrhage into the vitreous body, which is a kind of gel that fills the area between the retina and the lens. Hemophthalmos is often caused by disorders in the retina, inflammatory processes inside the retina.

The causes of hemophthalmia can be diabetes mellitus, hypertensive crises, the presence of blood clots in the vessels of the retina, pressure surges during sudden physical exertion, during labor attempts.

How to behave if blood vessels in the eye burst and a hemorrhage occurs

In case of hemorrhage in the eye, one should take responsibility for one’s health and not harm oneself by careless actions. Follow certain rules of conduct to prevent complications.

• Do not touch the eye, do not rub it, so as not to provoke an increase in hemorrhage.
• Do not rinse the eye, this can also make the bleeding worse.
• If you wear contact lenses, discard and remove.
• Do not self-medicate: do not use various lotions from herbal infusions. This can be detrimental to the eyes.
• Contact an eye clinic as soon as possible.

Diagnosis of hemorrhage in the eye

Diagnosis in the presence of hemorrhage is necessary – the doctor needs to examine the patient, assess the condition of the organ of vision. In addition to a subjective examination, complex vision diagnostics may be required to make an accurate diagnosis.

Among the key studies may be the measurement of intraocular pressure, determining visual acuity, examining the internal structures of the eye using a slit lamp.

It should be noted that hemorrhage and capillary ruptures can also be provoked by external factors in addition to eye diseases and injuries. These factors include a lack of certain vitamins in the body, a sharp rejection of drugs that thin the blood, infectious diseases, smoking and alcohol abuse.

Treatment of ruptured vessels and hemorrhage

The strategy of hemorrhage treatment, as a rule, is in the nature of waiting for the further course of pathological processes. For example, hemophthalmos in most cases does not require surgical treatment, since blood clots resolve on their own. But there are also acute cases. It all depends on the cause that caused the phenomenon of bursting blood vessels.

Based on the results of the examination and diagnosis, the ophthalmologist may prescribe medications for the patient to dissolve the blood and eliminate the symptoms of hemorrhage. Although it happens that in some situations surgery may be required. We are talking about the following cases when surgery may be needed:

• development of hemophthalmos associated with retinal detachment;
• if there is no noticeable improvement for more than 3 weeks;
• if there is no improvement in the condition of the eye after injury.

Treatment of retinal hemorrhage

Retinal hemorrhage is a separate category of hemophthalmia, when blood fills the space, excluding the vitreous body area. These types of hemorrhages can be accompanied by a sharp deterioration in vision, but the person does not feel pain.

Treatment options can be either conservative with drugs or surgical, such as laser retinal photocoagulation, a procedure that affects the retinal tissue. Conservative therapy includes drugs from the groups of corticosteroids, antioxidants, angioprotectors and others.

Prevention of burst blood vessels in the eye

Prevention of hemorrhage in the eye, rupture of blood vessels, capillaries is a standard set of preventive measures to support visual health. Unfortunately, it will not work to insure yourself against hemorrhages at all, but you can follow general recommendations for maintaining eye health. These include:

• minimization of visual strain at close range;
• exclusion of bad habits – smoking, drinking alcohol;
• limit strenuous exercise to avoid the risk of vascular rupture;
• see an ophthalmologist regularly;
• spend more time outdoors.

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The human eye is covered on the outside with a thin transparent membrane – the conjunctiva. This tissue contains a network of thin blood vessels, capillaries. Expansion of blood vessels leads to redness of the eye, and sometimes the vessel does not withstand pressure and bursts. The most obvious symptom is redness of the eye with a bloody spot on it.

There are many reasons for vascular rupture, let’s highlight the most common:

– increased blood pressure. If you do not have hypertension, your blood pressure may rise due to drinking alcohol or extreme stress, changes in barometric pressure and weather.

– great physical activity. During heavy lifting, pressure rises and there is a risk of vessel rupture.

– injuries of the eyeball. Bruises and blows injure the vessels, sometimes the vessel may burst during eye surgery.

– eye diseases – glaucoma, bacterial or viral conjunctivitis, keratitis, blepharitis.

– long-term use of blood thinners.

– incorrect wearing of contact lenses.

– eyestrain. Reading texts written in small print, poor lighting and working at a computer without breaks for rest (relevant for students as well).

– age-related and chronic diseases. With atherosclerosis and diabetes, the walls of blood vessels become thinner and easily torn.

If your health is in order, and blood vessels often rupture due to increased pressure or increased physical activity, may be due to a lack of vitamins or impaired blood supply.

It is important to contact an ophthalmologist to solve the problem. Only a doctor will determine the cause of the capillary rupture and prescribe treatment.

Prevention is the key to health. What measures to take to avoid capillary rupture:

• Add more foods containing ascorbic acid and rutin to your diet. These are oranges, tangerines, spinach, lettuce, bell peppers.

• Reduce the amount of physical activity, do not exceed your limits.

• Take breaks, do a special eye warm-up during work. For example, look into the distance 15 times and look at the tip of the nose.

• Do not go to baths and saunas too often, especially in public ones.

• Do not delay the treatment of colds and SARS.

• Protect your eyes with goggles during windy weather and wash your face immediately when you return home.

• Install humidifiers to keep your eyes from drying out.

Treatment for a ruptured vessel depends on the cause. If this is an isolated case, and you are sure that it is not caused by a serious illness, but by overwork, use moisturizers.

1. Vizin relieves redness from the eyes, suitable for contact lens wearers.

2. Emoxipin fights the effects of vascular rupture.

3. Hyphenesis relieves dry eyes.

4. Taufon is recommended for patients with glaucoma, quickly removes hemorrhage in the eyes, relieves redness.

Remember that broken capillaries can be a harbinger of serious illness, so it is important to see a doctor.