Subconjunctival Hemorrhage: Causes and Care Tips - Ophthalmology

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Subconjunctival hemorrhage, commonly referred to as a "red eye," occurs when small blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) break, leading to bleeding underneath the surface. This condition can result from various causes, including trauma (like scratching the eye), increased pressure (such as from coughing or straining), or even certain medical conditions that affect blood clotting.

In your mother's case, it seems that the incident with the insect and her subsequent attempt to remove it may have caused the subconjunctival hemorrhage. The good news is that this condition is generally harmless and often resolves on its own within one to two weeks, as the body gradually reabsorbs the blood.
Regarding your question about whether using a tissue to cover the eye is appropriate, it's important to note that while it may provide some comfort, it is not necessary to cover the eye unless there is significant discomfort or light sensitivity. In fact, covering the eye can sometimes trap moisture and lead to irritation. Instead, it is advisable to keep the eye clean and avoid any further irritation. If your mother experiences pain, vision changes, or if the redness worsens, it would be prudent to seek medical attention as soon as possible.

Here are some care tips for managing subconjunctival hemorrhage:
1. Avoid Rubbing the Eye: Encourage your mother not to rub or touch her eye, as this can exacerbate the bleeding or cause further injury.

2. Cold Compress: Applying a cold compress to the affected eye can help reduce any swelling and provide comfort. Make sure the compress is clean and not too cold to avoid frostbite.

3. Artificial Tears: If her eye feels dry or irritated, using over-the-counter artificial tears can help soothe the discomfort. These drops can keep the eye lubricated without causing further irritation.

4. Monitor Symptoms: Keep an eye on her symptoms. If she experiences significant pain, changes in vision, or if the redness does not improve after a week, it is essential to consult an eye care professional.

5. Avoid Straining: Encourage her to avoid activities that may increase pressure in the eyes, such as heavy lifting, straining during bowel movements, or vigorous exercise, until the hemorrhage resolves.

6. Follow-Up Care: If the condition does not improve or if there are any concerning symptoms, it would be best to schedule an appointment with an ophthalmologist as soon as possible.

In summary, while subconjunctival hemorrhage can be alarming due to its appearance, it is usually not serious and resolves on its own. Proper care and monitoring are key, and if any complications arise, seeking professional medical advice is crucial. If you have any further concerns or if her condition changes, do not hesitate to reach out to a healthcare provider.