What Should I Do for Subconjunctival Hemorrhage?

Subconjunctival hemorrhage does not cause vision loss. However, if you experience blurred vision, seek prompt ophthalmologic evaluation at a reputable hospital. What should you do if you develop subconjunctival hemorrhage?

Treatment of Subconjunctival Hemorrhage

First, let us clarify what subconjunctival hemorrhage is. It refers to bleeding from small conjunctival blood vessels—particularly capillaries—resulting in blood accumulation beneath the bulbar conjunctiva, termed “bulbar subconjunctival hemorrhage.” The shape and size of such hemorrhages vary depending on the volume of blood extravasated. Small hemorrhages appear as flat, bright-red patches without elevation above the conjunctival surface. Larger hemorrhages may elevate above the conjunctival surface and appear purplish-red.

Subconjunctival hemorrhages most commonly occur in the palpebral fissure region. Over time, the hemorrhage often migrates toward the limbus. Isolated bulbar subconjunctival hemorrhage typically requires no treatment—neither topical eye drops nor systemic medications are necessary, as it resolves spontaneously. Management may include cold or warm compresses: cold compresses applied within the first 24–48 hours help reduce further bleeding, whereas warm compresses after 48 hours promote absorption of the hematoma. Complete resolution usually takes 20 days to one month. No intervention is required for simple subconjunctival hemorrhage; spontaneous recovery is expected.

However, in rare cases—such as recurrent or frequent episodes of bulbar subconjunctival hemorrhage—blood tests should be performed at a hospital to rule out coagulopathies or other hematologic disorders. A single, isolated episode of subconjunctival hemorrhage is generally benign and requires no concern, as it will resolve spontaneously. We hope this information has been helpful. Wishing you good health and happiness!