Pathophysiology
1. Bleeding from small Conjunctival vessels
Causes
1. Minor Eye Trauma
2. Spontaneously with increased venous pressure
  1. Coughing
  2. Sneezing
  3. Straining
3. Blood dyscrasia (rare)
4. Severe Hypertension
Symptoms
1. No Eye Pain
2. Vision normal
3. Pupil size and reactivity are normal
Management
1. Careful exam including vision
2. Reassurance
3. Cold compresses
4. Referral for question of greater injury
Course
1. Hemorrhage clears spontaneously in 1-2 weeks

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.