Post-Sty Surgery: Subconjunctival Hemorrhage and Care Tips - Ophthalmology

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Post-operative care for chalazion?


I had a chalazion surgery on the lower part of my left eye today.
When I looked in the mirror after the procedure, there was no significant bleeding, but when I got home, I noticed a large area of subconjunctival hemorrhage in the lower part of my eyeball.
The clinic is now closed, and I can't ask about this situation.
Is this normal after the first chalazion treatment? Should I apply ice or do anything else for treatment? Thank you.

Huang, 30~39 year old female. Ask Date: 2023/08/06

Dr. Gao Pilin reply Ophthalmology


Hello: You can apply a cold compress first.
Subconjunctival hemorrhage is not a concern; it may be due to postoperative bleeding and will naturally resolve in a few days.

Reply Date: 2023/08/06

More Info


After undergoing a procedure for a chalazion (commonly referred to as a "stye"), it is not uncommon for patients to notice subconjunctival hemorrhage, which appears as a bright red patch on the white part of the eye (sclera). This condition occurs when small blood vessels in the conjunctiva break, leading to bleeding beneath the surface. While it can be alarming to see, it is generally a benign and self-limiting condition.


Understanding Subconjunctival Hemorrhage
Subconjunctival hemorrhage can occur due to various reasons, including:
1. Trauma or Injury: The surgical procedure itself may have caused minor trauma to the blood vessels in the eye.

2. Increased Pressure: Activities that increase pressure in the head, such as coughing, sneezing, or straining, can lead to the rupture of small blood vessels.

3. Blood Thinners: If you are taking anticoagulant medications, this may increase the likelihood of bleeding.

4. Underlying Conditions: Conditions that affect blood clotting or blood vessel integrity can also contribute.


Is This Normal?
Yes, it is relatively normal to experience subconjunctival hemorrhage after eye surgery, especially if there was any manipulation of the eyelid or surrounding tissues. The absence of significant pain, vision changes, or other concerning symptoms typically indicates that the condition is not serious. However, it is essential to monitor the situation.


Care Tips
1. Ice Packs: Applying a cold compress or ice pack to the affected area can help reduce swelling and discomfort. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

2. Avoid Rubbing: Do not rub or touch the eye, as this can exacerbate the bleeding or introduce infection.

3. Rest: Ensure you get plenty of rest and avoid strenuous activities that could increase pressure in the eye.

4. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you experience increased pain, vision changes, or if the bleeding worsens, seek medical attention.

5. Follow-Up: Since your clinic is closed, consider scheduling a follow-up appointment with your ophthalmologist or healthcare provider as soon as possible. They can assess the situation and provide reassurance or further treatment if necessary.


When to Seek Immediate Care
While subconjunctival hemorrhage is usually harmless, you should seek immediate medical attention if you experience:
- Sudden vision loss or significant changes in vision.

- Severe pain in or around the eye.

- Persistent bleeding or worsening of the hemorrhage.

- Signs of infection, such as increased redness, swelling, or discharge.


Conclusion
In summary, subconjunctival hemorrhage following chalazion surgery is generally a common occurrence and usually resolves on its own without the need for specific treatment. However, it is crucial to monitor your symptoms and maintain communication with your healthcare provider for any concerns. If you have any doubts or if the situation changes, do not hesitate to seek medical advice.

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