The bleeding in the white part of the eye is spreading and getting larger.
Feb 24, 2023
Source: Cainiu Health
Dr. Cui Xin
Introduction
If the subconjunctival hemorrhage continues to spread, appropriate treatment should be based on the underlying cause. If caused by conjunctivitis, follow medical advice to use medications such as tobramycin and dexamethasone ophthalmic solution. If due to trauma, mild bleeding can be managed with local cold or warm compresses; however, if there is a rupture of the sclera, prompt surgical repair according to medical instructions is required, along with use of tobramycin ophthalmic solution, levofloxacin ophthalmic solution, and other prescribed eye drops. For cases caused by hypertension, medications such as valsartan and hydrochlorothiazide capsules or nitroglycerin tablets should be used as directed.
Bleeding in the white part of the eye that continues to spread may be caused by conjunctivitis, eye injury, hypertension, or other conditions. Different treatments can be selected depending on the underlying cause.
1. Conjunctivitis
If poor eye hygiene leads to bacterial infection and subsequent conjunctivitis, inflammation may irritate the capillaries in the white of the eye, causing congestion and capillary rupture. Under a doctor's guidance, medications such as tobramycin dexamethasone ophthalmic solution, erythromycin eye ointment, or chlortetracycline eye ointment may be used to inhibit bacteria, reduce inflammation, and relieve eye symptoms.
2. Eye Injury
If bleeding results from trauma such as pressure, impact, or scratches causing small subconjunctival blood vessels to rupture, and the bleeding is mild, apply local cold compresses within the first 24 hours after injury to help stop bleeding. After 24 hours, switch to warm compresses to promote absorption of the blood clot. If there is a laceration in the white of the eye, prompt surgical suturing under medical guidance is recommended. Additionally, use antibiotic eye drops such as tobramycin ophthalmic solution, levofloxacin ophthalmic solution, or norfloxacin ophthalmic solution as directed to prevent infection.
3. Hypertension
In patients with poorly controlled high blood pressure, elevated pressure can cause rupture of small blood vessels in the retina. In such cases, antihypertensive medications such as valsartan hydrochlorothiazide capsules, nitroglycerin tablets, or bisoprolol fumarate tablets may be taken as prescribed to lower blood pressure and alleviate eye discomfort.
In addition, conditions such as vascular tumors may also cause this symptom. It is recommended to determine the exact cause and follow medical advice for appropriate treatment.
