Treatment options for subconjunctival hemorrhage

 Subconjunctival hemorrhage, characterized by the sudden appearance of a red patch on the white part of the eye (sclera) due to bleeding underneath the conjunctiva, typically resolves on its own without treatment within a few weeks. However, there are some measures you can take to promote healing and alleviate discomfort associated with a subconjunctival hemorrhage:

Observation and Reassurance: In most cases, no specific treatment is necessary for a subconjunctival hemorrhage. It is typically a harmless condition that resolves spontaneously over time. Reassure the affected individual that the redness will gradually fade and that no vision loss or other complications are expected.

Artificial Tears: Over-the-counter artificial tears (lubricating eye drops) can help soothe any associated eye irritation or dryness. These drops can provide relief from discomfort and help maintain eye moisture while the subconjunctival hemorrhage heals.

Avoidance of Eye Strain: Encourage the affected individual to avoid activities that may strain the eyes, such as prolonged screen time, reading for extended periods, or heavy lifting, which can increase blood pressure and potentially worsen the hemorrhage.

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 Cold Compresses: Applying cold compresses to the affected eye can help reduce inflammation, soothe irritation, and alleviate discomfort. Use a clean, cold compress or a cold gel eye mask and apply it gently to the closed eyelid for several minutes at a time, several times a day, as needed.

Avoidance of Blood-Thinning Medications: If the subconjunctival hemorrhage is due to trauma or a bleeding disorder, consult a healthcare professional to determine if any medications or supplements that thin the blood (such as aspirin or anticoagulants) should be temporarily discontinued or adjusted to prevent further bleeding.

Follow-Up with Healthcare Provider: If the subconjunctival hemorrhage is recurrent, associated with significant pain, vision changes, or other concerning symptoms, or if it fails to resolve within a few weeks, consult an eye care professional, such as an ophthalmologist or optometrist, for further evaluation and management.

In rare cases, if a subconjunctival hemorrhage is extensive, persistent, or associated with underlying systemic conditions or trauma, medical intervention may be necessary. Your healthcare provider may prescribe topical or oral medications to reduce inflammation, manage associated symptoms, or address underlying causes. Surgical intervention is rarely required for subconjunctival hemorrhage unless there are specific indications, such as the presence of an underlying eye or systemic condition requiring treatment.

Overall, the prognosis for subconjunctival hemorrhage is excellent, and most cases resolve spontaneously without long-term complications. However, it's essential to seek medical advice if you have any concerns or if the hemorrhage is accompanied by severe pain, vision changes, or other worrisome symptoms. 

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