eMedicine Specialties > Ophthalmology > Conjunctiva
Subconjunctival Hemorrhage: Differential Diagnoses & Workup
Updated: Feb 3, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
Conjunctivitis, Acute Hemorrhagic
Kaposi Sarcoma
Red Eye Evaluation
Other Problems to Be Considered
Other conjunctival neoplasms with secondary hemorrhage
Workup
Laboratory Studies
- Usually, no laboratory studies are indicated.
- Check blood pressure.
- If history of trauma, rule out ruptured globe or retrobulbar hemorrhage.
- In recurrent cases or if history of bleeding problems (eg, epistaxis, easy bruising), a bleeding time, prothrombin time/activated partial thromboplastin time (PT/aPTT), CBC with platelets, and protein C and S should be obtained with consideration for consultation to an internist.
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| Overview: Subconjunctival Hemorrhage |
Differential Diagnoses & Workup: Subconjunctival Hemorrhage |
| Treatment & Medication: Subconjunctival Hemorrhage |
| Follow-up: Subconjunctival Hemorrhage |
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References
American Academy of Ophthalmology. External disease and cornea. In: Basic and Clinical Science Course. Vol 8. American Academy of Ophthalmology; 1995:292.
Bodack MI. A warfarin-induced subconjunctival hemorrhage. Optometry. Mar 2007;78(3):113-8. [Medline].
Fraunfelder FT. Drug Induced Ocular Side Effects and Drug Interactions. 3rd ed. Philadelphia: Lea & Febiger; 1989.
Friberg TR, Weinreb RN. Ocular manifestations of gravity inversion. JAMA. Mar 22-29 1985;253(12):1755-7. [Medline].
Knopf HL, Carter K, Prokopius MJ. Recurrent subconjunctival hemorrhage. Compr Ophthalmol Update. May-Jun 2006;7(3):155-6. [Medline].
Pong JC, Lam DK, Lai JS. Spontaneous subconjunctival haemorrhage secondary to carotid-cavernous fistula. Clin Experiment Ophthalmol. Jan-Feb 2008;36(1):90-1. [Medline].
Quezada AA, Shields CL, Wagner RS, Demirci H, Caputo AR, Shields JA. Lymphangioma of the conjunctiva and nasal cavity in a child presenting with diffuse subconjunctival hemorrhage and nosebleeds. J Pediatr Ophthalmol Strabismus. May-Jun 2007;44(3):180-2. [Medline].
Rhee DJ. Subconjunctival hemorrhage. In: Wills Eye Manual: Office & Emergency Room Diagnosis & Treatment of Eye Disease. 3rd ed. Lippincott Williams & Wilkins; 1999:130-131.
Russell SR, Olsen KR, Folk JC. Predictors of scleral rupture and the role of vitrectomy in severe blunt ocular trauma. Am J Ophthalmol. Mar 15 1988;105(3):253-7. [Medline].
Shields SR. Managing eye disease in primary care. Part 2. How to recognize and treat common eye problems. Postgrad Med. Oct 2000;108(5):83-6, 91-6. [Medline].
Spitzer SG, Luorno J, Noël LP. Isolated subconjunctival hemorrhages in nonaccidental trauma. J AAPOS. Feb 2005;9(1):53-6. [Medline].
van Heuven WAJ. Subconjunctival hemorrhage. In: Decision Making in Ophthalmology: An Algorithmic Approach. Mosby-Year Book; 2000:66-67.
Wirbelauer C. Management of the red eye for the primary care physician. Am J Med. Apr 2006;119(4):302-6. [Medline].
Further Reading
Keywords
subconjunctival hemorrhage, red eye, bleeding in eye, blood in eye
Differential Diagnoses & Workup: Subconjunctival Hemorrhage