What should be done for traumatic fundus hemorrhage?

Retinal hemorrhage due to ocular trauma requires immediate cessation of activity, avoidance of eye pressure, maintenance of eye cleanliness, prompt cold compresses to stop bleeding, and timely medical evaluation. Proper management can reduce the risk of secondary injury. If symptoms such as sudden vision loss, severe eye pain, or eye protrusion occur, it is recommended to seek emergency ophthalmic care immediately.

1. Immediately stop all activity: After injury, cease walking, running, or any physical movement promptly. Sit or lie down to rest, avoiding vigorous head movements to reduce blood flow to the eye and prevent worsening of the hemorrhage.

2. Avoid pressing the eye: Do not rub or press the injured eye with your hands. Pressure can increase intraocular pressure, potentially expanding the area of bleeding and introducing bacteria that may lead to infection.

3. Keep the eye clean: If there are foreign objects or discharge around the eye, gently wipe with a sterile cotton swab. Avoid exposing the eye to dirty water or dust to minimize infection risk, and do not self-administer eye drops.

4. Apply cold compress promptly: Within the first 48 hours after injury, apply an ice pack wrapped in a clean towel to the skin around the eye for 15–20 minutes per session, 3–4 times daily. This helps constrict blood vessels to control bleeding and reduce swelling.

5. Seek medical evaluation promptly: Regardless of the amount of bleeding, it is essential to visit an ophthalmologist as soon as possible. Diagnostic tests such as fundoscopy or orbital CT scans will determine the extent of injury, followed by targeted treatments including hemostasis and anti-inflammatory therapy.

During recovery, ensure adequate rest and avoid excessive eye use. Maintain a light diet rich in vitamin-containing foods, avoid strenuous exercise and heavy physical labor, take medications as prescribed, and attend regular follow-up appointments to monitor eye condition.