Subconjunctival Hemorrhage - Cause

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What causes a subconjunctival hemorrhage?

The conjunctiva contains nerves and many small blood vessels. These blood vessels are usually barely visible but become larger and more visible if the eye is inflamed. These blood vessels are somewhat fragile and their walls may break easily, resulting in a subconjunctival hemorrhage (bleeding under the conjunctiva). A subconjunctival hemorrhage appears as a bright red or dark red patch on the sclera. Most subconjunctival hemorrhages are spontaneous without an obvious cause for the bleeding from normal conjunctival blood vessels. Since most subconjunctival hemorrhages are painless, a person may discover a subconjunctival hemorrhage only by looking in the mirror. Many spontaneous subconjunctival hemorrhages are first noticed by another person seeing a red spot on the white of your eye. Rarely there may be an abnormally large or angulated blood vessel as the source of the hemorrhage.

The following can occasionally result in a spontaneous subconjunctival hemorrhage:

  • Sneezing
  • Coughing
  • Straining/vomiting
  • Increasing the pressure in the veins of the head, as in weight lifting
  • Eye rubbing or inserting contact lenses
  • Certain infections of the outside of the eye (conjunctivitis) where a virus or a bacteria weaken the walls of small blood vessels under the conjunctiva
  • Medical disorder causing bleeding or inhibiting normal clotting.

Subconjunctival hemorrhage can also be non-spontaneous and result from a severe eye infection, trauma to the head or eye or after eye or eyelid surgery.

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See what others are saying

Comment from: Jeff, 25-34 Male (Patient) Published: May 21

I got my subconjunctival hemorrhage in both eyes from being sick and forcefully vomiting all day. First time it has ever happened to me at 33 years of age.

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Comment from: Susanne, 55-64 Female (Patient) Published: June 05

I got my subconjunctival hemorrhage under both eyes and in both eyes from being sick, and convulsive vomiting during the night. I woke in the morning with this problem. First time it has ever happened to me at 60 years of age. Looks terrible but it doesn't hurt and applying concealer is helping. I just hope it goes away soon.

Was this comment helpful?Yes

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