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SUBCONJUNCTIVAL HEMORRHAGE

DESCRIPTION

A subconjunctival hemorrhage is a sudden appearance of blood in the white area of the eye. Although the bleeding may appear frightening, it is not painful or serious. The conjunctiva (white of the eye) is involved.
Appropriate health care includes:
  • Self-care after diagnosis.
  • Physician's monitoring of general condition and medications, but only if there has been injury or a change in the child's vision.

    SIGNS & SYMPTOMS
    A small, painless collection of bright red blood over the white of the eye. Swelling may occur in the affected area of the conjunctiva. The blood changes color gradually to brown or green before disappearing. The condition doesn't interfere with your child's vision.

    CAUSES
    Usually spontaneous bleeding with no known cause. It may follow coughing, sneezing, or vomiting.

    RISK FACTORS

  • Use of mind-altering drugs.
  • Use of anticoagulant drugs.

    PREVENTING COMPLICATIONS OR RECURRENCE

    No specific preventive measures.

    BASIC INFORMATION

    MEDICAL TESTS

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor (sometimes).

    POSSIBLE COMPLICATIONS

    None expected.

    PROBABLE OUTCOME
    The blood should be absorbed in 2 or 3 weeks. It is very unlikely that any scarring will occur.

    TREATMENT

    HOME CARE

  • Use cold compresses on your child's eye for several days to prevent additional bleeding. Fold a clean cloth in several layers, dip it in ice water, and wring it out a little. Apply it to the child's eye for 10 minutes every hour.
  • Use warm compresses on your child's eye when signs of bleeding have stopped for 2 days. This will hasten blood absorption. Dip the compress in warm water instead of cold water. Apply to the child's eye for 10 minutes 3 times a day.

    MEDICATION

  • Medicine is usually not necessary for this disorder.
  • See Medications section for information regarding medicines your doctor may prescribe.

    ACTIVITY
    No restrictions.

    DIET & FLUIDS
    No special diet.

    OK TO GO TO SCHOOL?

    Yes. Activity not likely to worsen the child's condition, nor cause recurrence.

    CALL YOUR DOCTOR IF

    Your child has symptoms of a subconjunctival hemorrhage, especially if there is eye pain or vision changes.

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