SAEDNEWS: Presence of redness or blood in the eye can result from inflammation or the rupture of blood vessels— a condition known as a subconjunctival hemorrhage.
According to reports from Saed News’ sports service, citing Behdasht News, sometimes the tiny blood vessels in the eye can rupture due to trauma, certain medications (such as blood thinners), or other factors. When this happens, bleeding occurs beneath the conjunctiva, resulting in a red spot on the white part of the eye.
The conjunctiva is a thin layer that covers the outer surface of the eye, except for the central cornea. It contains many small blood vessels, white blood cells, and nerve fibers. These vessels are fragile and can easily rupture, causing subconjunctival hemorrhage.
Even a small amount of trapped blood under the conjunctiva can make the eye appear very red. Subconjunctival hemorrhage usually occurs suddenly and in one eye, often alarming the patient and prompting an immediate visit to the doctor.
Although the appearance of this bleeding can be concerning, in most cases it is not serious. The blood is usually absorbed naturally within one to two weeks. Anyone can experience subconjunctival hemorrhage, but people with high blood pressure or diabetes are more susceptible.
Activities that increase pressure on the eye, such as rubbing the eyes, sneezing, coughing, or lifting heavy objects, can also cause blood vessels on the eye’s surface to rupture, leading to redness.
This condition can occur at any age, but the likelihood increases with age. It can also be seen in newborns, usually due to changes in the baby’s blood pressure during birth. Redness of the eye typically resolves on its own within one to three weeks without treatment.
A red or blood-colored spot on the white of the eye, which may expand over several days to cover more of the eye.
No pain.
No changes in vision.
Fragile blood vessels under the conjunctiva.
Sudden increases in internal pressure, such as from sneezing, coughing, severe vomiting, or straining.
Vigorous eye rubbing.
Eye trauma.
Lifting heavy objects.
High blood pressure.
Blood clotting disorders.
Severe eye infections.
Swallowing difficulties.
Cardiovascular problems.
People often notice it when looking in a mirror or are informed by others. A doctor will usually measure blood pressure and, if the cause is trauma, perform a detailed eye examination with a slit lamp (a specialized microscope for eye assessment).
Subconjunctival hemorrhage typically does not require treatment and resolves on its own within one to three weeks. It is recommended to stop taking aspirin, ibuprofen, or similar medications.
Patients should be reassured that the color of the blood will gradually change and will be fully absorbed within about two weeks. During recovery, the blood spot may shift in color from red to yellow or green, similar to a bruise.
Applying a warm compress two days after the bleeding begins can help the blood absorb faster. A follow-up visit after two weeks is advised to ensure the blood has fully cleared.
If the hemorrhage recurs, the patient should be evaluated for underlying systemic conditions such as high blood pressure or diabetes.
Seek immediate medical attention if subconjunctival hemorrhage occurs alongside:
Severe eye pain.
Vision changes, such as blurriness or double vision.
History of high blood pressure.
Blood clotting disorders.
Trauma to the eye or head.
Bleeding in both eyes at the same time.
