Wylew podspojówkowy
Objawy

Wylew podspojówkowy (subconjunctival hemorrhage) to pęknięcie małego naczynia krwionośnego pod spojówką, skutkujące nagromadzeniem krwi między spojówką a twardówką, co manifestuje się jasnoczerwoną plamą na białej części oka. Objawy obejmują brak bólu, brak wpływu na ostrość widzenia oraz brak wydzieliny, choć pacjenci mogą odczuwać dyskomfort w postaci drapania lub uczucia pełności. Wylew zwykle ustępuje samoistnie w ciągu 1-2 tygodni, choć większe zmiany mogą wymagać do 3 tygodni na całkowitą resorpcję. Proces gojenia przebiega przez charakterystyczne zmiany barwy plamy: od jasnoczerwonej, przez brązową i fioletową, aż do żółtej. Nawracające wylewy występują u około 10% pacjentów, zwłaszcza tych stosujących leki przeciwzakrzepowe lub przeciwpłytkowe.

Wylew podspojówkowy (pęknięcie naczynia krwionośnego w oku) – objawy

Wylew podspojówkowy (ang. subconjunctival hemorrhage) występuje, gdy małe naczynie krwionośne pęka tuż pod przezroczystą powierzchnią oka (spojówką). Krew gromadzi się między spojówką a twardówką (białą częścią oka), tworząc charakterystyczny obraz kliniczny.12 Wylew podspojówkowy jest jednym z kilku zaburzeń określanych jako „czerwone oko”.3

Główne objawy wylewu podspojówkowego

Najbardziej charakterystycznym objawem wylewu podspojówkowego jest pojawienie się jasnoczerwonej plamy na białej części oka (twardówce). Plama ta może być mała lub rozległa, czasem pokrywająca całą białą część oka.14 Wylew podspojówkowy często występuje jednostronnie, zazwyczaj jednorazowo i następnie samoistnie ustępuje.4

Mimo alarmującego wyglądu, wylew podspojówkowy zwykle nie powoduje żadnych zmian w widzeniu, wydzieliny z oka ani bólu. Jedynym dyskomfortem może być uczucie drapania na powierzchni oka.12 Niektórzy pacjenci mogą odczuwać delikatne podrażnienie lub uczucie pełności w oku.5

Warto podkreślić, że mimo krwawego wyglądu, wylew podspojówkowy wygląda gorzej niż jest w rzeczywistości i zazwyczaj stanowi niegroźny stan, który znika w ciągu około dwóch tygodni.15

Szczegółowe objawy kliniczne

Do szczegółowych objawów klinicznych wylewu podspojówkowego należą:

  • Jasno czerwona lub ciemnoczerwonadnplama na białej części oka67
  • Brak bólu (w większości przypadków)28
  • Brak wpływu na ostrość widzenia34
  • Brak wydzieliny z oka19
  • Możliwe uczucie drapania lub piasku w oku110
  • Niekiedy uczucie pełności w oku lub pod powieką511
  • Możliwe lekkie podrażnienie1213
  • Czasami uczucie świadomości oka podczas mrugania109

Niektórzy pacjenci mogą doświadczyć ostrego bólu w momencie pęknięcia naczynia, ale zdarza się to bardzo rzadko.14 W większości przypadków pacjent odkrywa wylew podspojówkowy dopiero patrząc w lustro lub gdy inna osoba zwraca uwagę na czerwoną plamę w oku.59

Przebieg wylewu podspojówkowego

Wylew podspojówkowy charakteryzuje się typowym przebiegiem, który można podzielić na kilka faz.

Początkowy etap wylewu

Wylew podspojówkowy może pojawić się nagle, często bez oczywistej przyczyny. W początkowej fazie plama krwi jest dobrze odgraniczona, jasnoczerwonej barwy.712 Wylew może wydawać się powiększać w ciągu pierwszych 24-48 godzin po wystąpieniu, gdy krew rozprzestrzenia się pod spojówką.155

Traumatyczne wylewy podspojówkowe mają tendencję do pozostawania zlokalizowane wokół miejsca urazu, szczególnie w obszarach skroniowych, podczas gdy wylewy związane z zaburzeniami naczyniowymi są bardziej rozlane.16 Ogólnie rzecz biorąc, wylewy podspojówkowe najczęściej występują w dolnych i skroniowych obszarach spojówki.16

Fazy resorpcji i gojenia

Po początkowej fazie organizm zaczyna naturalnie wchłaniać krew zgromadzoną pod spojówką. Proces resorpcji przebiega podobnie jak w przypadku siniaka na skórze.911 W trakcie tego procesu wylew przechodzi przez charakterystyczne zmiany koloru:

  • Początkowo jasnoczerwoną barwę127
  • Następnie zmienia kolor na brązowy lub fioletowy177
  • Dalej przechodzi w odcienie żółte317
  • Ostatecznie całkowicie znika109

Wylew często wydaje się najgorzej wyglądać na początku, a następnie stopniowo się rozjaśnia. W miarę resorpcji krwi zanikają wyraźne granice plamy.712

Czas trwania i prognozy

Większość wylewów podspojówkowych ustępuje samoistnie w ciągu 1-2 tygodni, choć może to potrwać do 3 tygodni w przypadku rozleglejszych wylewów.1218 Czas gojenia zależy od wielkości wylewu – mniejsze plamy ustępują szybciej, podczas gdy większe mogą wymagać dłuższego czasu.2

Prognozy dla pacjentów z wylewem podspojówkowym są doskonałe, gdy stan ten występuje bez urazu. Wylew samoistnie zmniejsza się i znika w ciągu mniej niż dwóch tygodni, nie powodując żadnych blizn, utraty wzroku ani innych zmian ocznych.518

Warto zauważyć, że w około 10% przypadków spontaniczne wylewy podspojówkowe mogą nawracać, szczególnie u pacjentów przyjmujących leki przeciwzakrzepowe lub przeciwpłytkowe.18 Jeśli wylew podspojówkowy nie ustępuje, nawraca lub jest związany z innymi objawami, pacjent powinien skontaktować się z lekarzem w celu dalszej oceny.25

Czynniki ryzyka i potencjalne wskaźniki

Wylew podspojówkowy może być związany z różnymi czynnikami ryzyka, które różnią się w zależności od wieku pacjenta i współistniejących schorzeń.

Czynniki ryzyka w różnych grupach wiekowych

Badania wykazały, że główne czynniki ryzyka wylewu podspojówkowego różnią się w zależności od wieku pacjenta:16

Częstość występowania wylewów podspojówkowych wzrasta z wiekiem, szczególnie po 50. roku życia, co prawdopodobnie wynika ze zwiększonej częstości występowania nadciśnienia tętniczego, cukrzycy, hiperlipidemii oraz stosowania terapii przeciwzakrzepowej w tej grupie wiekowej.16

Czynniki systemowe i miejscowe

Czynniki systemowe, które mogą prowadzić do wylewu podspojówkowego, można sklasyfikować jako:16

  • Choroby naczyniowe (nadciśnienie tętnicze, cukrzyca, miażdżyca)1618
  • Nagłe silne przekrwienie żylne (np. podczas ataku astmy)16
  • Zaburzenia hematologiczne16
  • Uraz systemowy16
  • Ostre gorączkowe choroby systemowe16
  • Leki (szczególnie przeciwzakrzepowe)1618

Czynniki miejscowe obejmują:

  • Uraz miejscowy oka16
  • Kaszel, kichanie, wymioty11
  • Wytężanie się, podnoszenie ciężkich przedmiotów13
  • Pocieranie oczu13

Kruchość naczyń spojówkowych, podobnie jak innych naczyń w organizmie, zwiększa się z wiekiem oraz w wyniku miażdżycy, nadciśnienia tętniczego i cukrzycy. Pacjenci z chorobami naczyniowymi mogą wielokrotnie doświadczać wylewów podspojówkowych.16

Potencjalne wskaźniki poważniejszych problemów

Chociaż większość wylewów podspojówkowych jest niegroźna, w niektórych przypadkach mogą one być wskaźnikiem poważniejszych problemów zdrowotnych:6

  • Nawracające lub uporczywe wylewy podspojówkowe mogą wskazywać na nadciśnienie tętnicze, zaburzenia krzepnięcia, nowotwory układowe lub oczne, lub działania niepożądane leków16
  • Wylewy po urazie oka lub głowy wymagają natychmiastowej oceny lekarskiej ze względu na ryzyko współistniejących poważnych urazów oka6
  • Zmiany widzenia lub epizody utraty widzenia towarzyszące wylewowi wymagają natychmiastowej pomocy medycznej619
  • Krew gromadząca się w obszarze źrenicy (hyphema) może zwiększać ciśnienie wewnątrzgałkowe i szkodzić widzeniu19

Spontaniczny wylew podspojówkowy może być również wskaźnikiem nadciśnienia tętniczego, jeśli ciśnienie krwi jest wysokie w momencie początkowego badania oraz podczas kontroli po 1 i 4 tygodniach.18

Warto podkreślić, że tylko nawracające lub uporczywe wylewy podspojówkowe wymagają dalszej oceny systemowej, a nie pojedyncze epizody.16

Kiedy należy skontaktować się z lekarzem

W większości przypadków wylew podspojówkowy nie wymaga natychmiastowej pomocy medycznej, jednak istnieją sytuacje, w których konsultacja lekarska jest zalecana.

Sytuacje wymagające pilnej konsultacji

Należy niezwłocznie skontaktować się z lekarzem, jeśli wylew podspojówkowy jest związany z:176

  • Bólem oka1720
  • Zmianami widzenia lub utratą wzroku621
  • Wydzieliną z oka (szczególnie białą lub żółtą)20
  • Krwią widoczną nad czarną częścią oka (źrenicą)1721
  • Urazem głowy lub oka1322
  • Nadwrażliwością na światło23

Powyższe objawy mogą wskazywać na poważniejsze schorzenia, takie jak odwarstwienie siatkówki, uszkodzenie nerwu wzrokowego lub znaczny uraz oka, które wymagają natychmiastowej interwencji.619

Inne wskazania do konsultacji lekarskiej

Należy również rozważyć konsultację lekarską w następujących przypadkach:220

  • Wylew podspojówkowy nie ustępuje po 2-3 tygodniach34
  • Nawracające wylewy podspojówkowe220
  • Wylewy podspojówkowe występujące w obu oczach jednocześnie20
  • Historia zaburzeń krzepnięcia24
  • Wysokie ciśnienie krwi24
  • Stosowanie leków przeciwzakrzepowych22
  • Niewyjaśnione krwawienia lub siniaki w innych częściach ciała1121
  • Schorzenia hematologiczne, takie jak chłoniak lub białaczka22
  • Chemioterapia z powodu nowotworu22

W przypadku nawracających wylewów podspojówkowych lekarz może zalecić dalszą diagnostykę w kierunku nadciśnienia tętniczego, zaburzeń krzepnięcia, nowotworów układowych i ocznych oraz działań niepożądanych leków.16

Leczenie i prognozy

Wylew podspojówkowy w większości przypadków nie wymaga specjalnego leczenia i ustępuje samoistnie.

Standardowe postępowanie

Standardowe postępowanie w przypadku wylewu podspojówkowego obejmuje:2526

  • Obserwację – większość wylewów ustępuje samoistnie w ciągu 1-2 tygodni2518
  • Krople do oczu, takie jak sztuczne łzy, mogą łagodzić uczucie drapania lub podrażnienia2526
  • Ciepłe okłady mogą przyspieszyć gojenie24

Nie ma obecnie dostępnych metod leczenia, które przyspieszałyby proces resorpcji krwi.4 Organizm naturalnie wchłania krew, podobnie jak w przypadku siniaka.927

Prognozy długoterminowe

Prognozy dla pacjentów z wylewem podspojówkowym są doskonałe:518

  • Większość wylewów całkowicie ustępuje w ciągu 1-2 tygodni218
  • Nie powodują one blizn, utraty wzroku ani innych trwałych zmian ocznych5
  • Rokowanie dotyczące wzroku po ustąpieniu wylewu jest dobre – wzrok zazwyczaj nie jest upośledzony18

Komplikacje związane z wylewem podspojówkowym są rzadkie, chyba że jest on związany z urazem oka lub niedawną historią łatwego powstawania siniaków.528

Nawrotowość spontanicznych wylewów podspojówkowych wynosi około 10% u pacjentów bez identyfikowalnych czynników ryzyka i jest wyższa u pacjentów przyjmujących leki przeciwzakrzepowe lub przeciwpłytkowe.18

Specjalne przypadki

W niektórych specjalnych przypadkach wylewu podspojówkowego należy zwrócić uwagę na dodatkowe kwestie:

  • Wylewy związane z urazem – lekarz może przeprowadzić dokładniejszą ocenę oka, aby upewnić się, że nie ma innych powikłań lub urazów oka28
  • Wylewy u noworodków – często występują podczas porodu w wyniku ucisku wywieranego na dziecko przez skurcze porodowe i poród, co powoduje nagły wzrost ciśnienia krwi29
  • Nawracające wylewy – mogą wymagać dalszej diagnostyki w kierunku chorób układowych16

W przypadku nawracających wylewów podspojówkowych ważne jest kontrolowanie chorób przewlekłych, takich jak cukrzyca i nadciśnienie tętnicze.30 Warto również rozważyć ochronę oczu podczas używania narzędzi elektrycznych, pracy z chemikaliami lub substancjami niebezpiecznymi oraz uprawiania sportów.30

Unikanie pocierania oczu również zmniejsza ryzyko pękania naczyń krwionośnych. Jeśli oczy często swędzą i są niewygodne, może to być spowodowane alergiami.30

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Subconjunctival hemorrhage (broken blood vessel in eye) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/subconjunctival-hemorrhage/symptoms-causes/syc-20353826
    A subconjunctival hemorrhage (sub-kun-JUNK-tih-vul HEM-uh-ruj) occurs when a tiny blood vessel breaks just underneath the clear surface of your eye (conjunctiva). […] The most obvious sign of a subconjunctival hemorrhage is a bright red patch on the white (sclera) of your eye. […] Despite its bloody appearance, a subconjunctival hemorrhage looks worse than it is and should cause no change in your vision, discharge or pain. Your only discomfort may be a scratchy feeling on the surface of the eye. […] A subconjunctival hemorrhage may look alarming, but it’s usually a harmless condition that disappears within two weeks or so.
  • #2 Subconjunctival Hemorrhage: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17713-subconjunctival-hemorrhage
    The conjunctiva, or membrane that covers the white of your eye, contains many tiny blood vessels that can break, resulting in whats called a subconjunctival hemorrhage on your eyes surface. Most cases arent serious and will go away on their own. […] Subconjunctival hemorrhage is the term for a broken blood vessel that bleeds on the surface of your eye. […] The red spots caused by subconjunctival hemorrhage can look scary. But most cases dont cause any other symptoms or need treatment. They typically go away on their own within a few weeks. […] Other than the red spot in your eye, there are no subconjunctival hemorrhage symptoms. It doesnt cause pain or swelling, and it doesnt affect your vision. […] Most broken blood vessels heal within two weeks. Larger spots may take longer to go away. As the blood clears up, the color of the area may change, like a fading bruise.
  • #2 Subconjunctival Hemorrhage: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17713-subconjunctival-hemorrhage
    Most subconjunctival hemorrhages go away on their own within two weeks. The white of your eye may have a yellowish tint as the issue resolves, but you should have no vision problems. […] Subconjunctival hemorrhages may look alarming, but theyre usually no cause for concern. If you have other facial or eye injuries, you should visit a healthcare provider. If you have repeated cases of subconjunctival hemorrhage, see your provider. You may have a more serious underlying condition.
  • #3 Subconjunctival hemorrhage: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001616.htm
    Subconjunctival hemorrhage is a bright red patch appearing in the white of the eye. This condition is one of several disorders called red eye. […] A bright red patch appears on the white of the eye. The patch does not cause pain and there is no discharge from the eye. Vision does not change. […] A subconjunctival hemorrhage most often goes away on its own in about 2 to 3 weeks. The white of the eye may look yellow as the problem goes away. […] Call your provider if a bright red patch appears on the white of the eye.
  • #4 Subconjunctival Hemorrhage | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/subconjunctival-hemorrhage.html
    A subconjunctival hemorrhage is when a blood vessel breaks in the white of the eye. Then blood builds up below the conjunctiva. It causes a flat, bright red patch in the white of the eye. It’s similar to a bruise on the skin. […] A subconjunctival hemorrhage can look quite alarming, but it’s common and often harmless. They can happen to people of any age. Older adults have them more often. […] Other than a red eye, you likely wont have any symptoms. You might feel like you have something in your eye. But this is not common. The hemorrhage shouldnt affect your vision. And it shouldnt cause any pain. If you do have pain, you may have another problem with your eye. […] In most cases, just one eye will have a hemorrhage. It typically happens once and then goes away. But some health conditions might cause repeated hemorrhages.
  • #4 Subconjunctival Hemorrhage | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/subconjunctival-hemorrhage.html
    Most people will not need any treatment. This condition often goes away on its own. Your subconjunctival hemorrhage will likely go away in a few weeks. It will first turn from red to brown, and then to yellow. Currently, there are no treatments that will speed up this process. […] Call your healthcare provider if your subconjunctival hemorrhage does not go away in 2 to 3 weeks. Also call your healthcare provider right away if you have pain in the eye or vision loss. […] Most people will not need any treatment. This condition often goes away on its own in a few weeks.
  • #5 Subconjunctival Hemorrhage Causes, Symptoms, Pain, Treatment
    https://www.medicinenet.com/subconjunctival_hemorrhage/article.htm
    Very rarely do people experience pain when the hemorrhage begins. When the bleeding first occurs, one may notice a sense of fullness in the eye or under the lid. […] The hemorrhage itself is a prominent, sharply outlined bright red area overlying the sclera. The entire white part of the eye may occasionally be covered by blood. […] The hemorrhage will appear larger within the first 24 hours after its onset and then will slowly decrease in size as the blood is absorbed. […] The prognosis of subconjunctival hemorrhage is excellent when it occurs in the absence of trauma. It will spontaneously become smaller and disappear in less than two weeks. It will cause no scarring visual loss or other ocular changes. […] A subconjunctival hemorrhage will not cause any complications unless it is associated with trauma to the eye or a recent history of easy bruising.
  • #5 Subconjunctival Hemorrhage Causes, Symptoms, Pain, Treatment
    https://www.medicinenet.com/subconjunctival_hemorrhage/article.htm
    A red patch on the white of the eye is a sign of a subconjunctival hemorrhage. A subconjunctival hemorrhage is blood from a tiny broken blood vessel located between the conjunctiva and the underlying sclera. […] A subconjunctival hemorrhage appears as a bright red or dark red patch on the sclera. Most subconjunctival hemorrhages are spontaneous without an obvious cause for the bleeding. They come from normal conjunctival blood vessels. Since most subconjunctival hemorrhages are painless, a person may discover a subconjunctival hemorrhage only by looking in the mirror. […] Most of the time, no symptoms are associated with a subconjunctival hemorrhage other than seeing blood over the white part of the eye or „blood in the whites of the eye.” The hemorrhage does not extend over your pupil therefore your vision is not affected.
  • #6 Burst Blood Vessel I n The Eye? Visit ReFocus Eye Health
    https://www.refocuseyedoctors.com/services/eye-emergencies/burst-blood-vessel-in-the-eye-understanding-subconjunctival-hemorrhage-and-its-implications/
    Seeing what seems like blood in your eye can be alarming, it may look like your eye is full of blood, prompting concern. […] While these hemorrhages may seem concerning due to their appearance, they rarely require medical treatment unless accompanied by other symptoms. […] A subconjunctival hemorrhage typically presents as a bright red or dark patch on the white part of the eye, caused by blood leaking from a ruptured blood vessel. […] Despite its alarming appearance, it usually doesn’t cause pain, vision changes, or discharge. […] In some cases, there might be mild irritation or a feeling of pressure in the eye. […] Symptoms generally resolve within one to two weeks without treatment. […] If the hemorrhage persists beyond two weeks without improvement, consult an eye care professional to investigate underlying health issues.
  • #6 Burst Blood Vessel I n The Eye? Visit ReFocus Eye Health
    https://www.refocuseyedoctors.com/services/eye-emergencies/burst-blood-vessel-in-the-eye-understanding-subconjunctival-hemorrhage-and-its-implications/
    Any changes in vision or episodes of vision loss accompanying the hemorrhage demand immediate medical attention, as they may indicate severe conditions like retinal detachment or optic nerve damage. […] Repeated occurrences, especially in children and the elderly, can signify systemic conditions like hypertension or diabetes. […] Hemorrhages following eye injury or trauma require immediate intervention due to the risk of concurrent severe eye injuries like orbital fractures or globe rupture. […] Blood pooled in the pupil area (hyphema) can increase intraocular pressure and harm vision, making it a medical emergency. […] These symptoms, along with subconjunctival hemorrhage, suggest infection or inflammation, possibly conjunctivitis or cellulitis, warranting a thorough medical examination.
  • #7 Burst blood vessel in the eye (subconjunctival hemorrhage)
    https://www.medicalnewstoday.com/articles/burst-blood-vessel-in-the-eye
    A burst blood vessel in the eye, or subconjunctival hemorrhage (SCH), causes a patch of blood to appear on the white part of the eye. In most cases, it is harmless and goes away on its own. […] The main symptom of SCH is a red patch appearing on the white of the eye. At first, the patch may be an opaque red with clear borders, before becoming faded and less distinct. The eye may develop a bruised or yellow appearance as the hemoglobin and other blood components break down. […] Usually, SCH is painless and does not affect vision, although it may cause a swollen or scratchy feeling. It typically only affects the whites of the eyes, not the iris or pupil. […] After SCH, the body naturally reabsorbs the blood in the eye over 12 weeks, depending on the size of the hemorrhage. […] Most SCH cases resolve on their own and are not a sign of serious illness. […] Although a burst blood vessel in the eye is not serious in itself, it may indicate an underlying health condition that requires evaluation by a healthcare professional.
  • #8 Eye Bleeding Causes, Symptoms, and Treatment
    https://www.healthline.com/health/eye-health/eye-bleeding
    Eye bleeding typically means bleeding or a broken blood vessel involving the tissue layers on the outer surface of the eye. This is a subconjunctival hemorrhage. […] In a subconjunctival hemorrhage, the entire white part of your eye may look red or bloodshot, or you may have spots or areas of red in the eye. […] This kind of eye bleeding is common. It usually doesn’t cause pain or affect your vision. […] You’ll likely not need treatment for a subconjunctival hemorrhage. It’s usually harmless and clears up in about 1 week. […] Symptoms of subconjunctival hemorrhage include redness on the white part of the eye, eye is irritated or feels scratched, and feeling of fullness in the eye. […] Eye bleeding from subconjunctival hemorrhages usually goes away in 2 to 3 weeks. You may notice the resorbing blood turning red to brown and then yellow as the hemoglobin in the red blood cells metabolizes. This is common and can happen more than once.
  • #9 Subconjunctival Hemorrhage – Complete Eye Care of Medina
    https://completeeyecareofmedina.com/common-eye-conditions/changes-in-appearance/subconjunctival-hemorrhage/
    Similar to a bruise under the skin, a subconjunctival hemorrhage happens when a small blood vessel located between the sclera (white portion of an eye) and the conjunctiva (lining on the surface of an eye) breaks and covers the sclera with blood. […] Usually painless upon occurrence, a subconjunctival hemorrhage typically goes unnoticed until the individual looks in the mirror or someone else points out the red spot on the eye. Subconjunctival hemorrhage has few symptoms, and mostly affects a persons appearance and sometimes self-esteem. The hemorrhage, however, can cause a full sensation on the surface of the eye or a feeling of eye awareness when blinking. It can also cause slight irritation or a feeling of grittiness. Subconjunctival hemorrhage should not affect vision, cause pain, or lead to any changes in eye discharge. […] An eye care professional will diagnose subconjunctival hemorrhage by observation. Like bruises on the skin, subconjunctival hemorrhages clear up on their own without additional treatment. The blood will eventually absorb back into the eye and disappear.
  • #10 Subconjunctival Hemorrhage | Youth Vision
    https://denveryouthvision.com/subconjunctival-hemorrhage/
    Similar to a bruise under the skin, a subconjunctival hemorrhage happens when a small blood vessel located between the sclera (white portion of an eye) and the conjunctiva (lining on the surface of an eye) breaks and covers the sclera with blood. […] Usually painless upon occurrence, a subconjunctival hemorrhage typically goes unnoticed until the individual looks in the mirror or someone else points out the red spot on the eye. Subconjunctival hemorrhage has few symptoms, and mostly affects a persons appearance and sometimes self-esteem. The hemorrhage, however, can cause a full sensation on the surface of the eye or a feeling of eye awareness when blinking. It can also cause slight irritation or a feeling of grittiness. Subconjunctival hemorrhage should not affect vision, cause pain, or lead to any changes in eye discharge. […] Like bruises on the skin, subconjunctival hemorrhages clear up on their own without additional treatment. The blood will eventually absorb back into the eye and disappear.
  • #11 Subconjunctival Hemorrhage (Bleeding in the Eye) Treatment, Causes, Symptoms, Pictures
    https://www.emedicinehealth.com/subconjunctival_hemorrhage_bleeding_in_eye/article_em.htm
    As the hemorrhage resolves, some people may experience mild irritation or a sense of awareness of the eye. […] The bright red eye is often dramatic in appearance and can be scary. Usually, it appears as a bright red patch, but on occasion, the entire white part of the eye is covered by the blood. […] The hemorrhage may appear to enlarge within the first day or two as the blood spreads initially, but then it will typically decrease in size as the blood is reabsorbed, just as a bruise eventually goes away. […] If a subconjunctival hemorrhage does not show signs of clearing within a few days, if you have had multiple subconjunctival hemorrhages, or if you have other symptoms of bleeding (including easy bruising, bleeding gums, or blood in the stools or urine), you should seek medical attention to look for an underlying bleeding or clotting disorder.
  • #11 Subconjunctival Hemorrhage (Bleeding in the Eye) Treatment, Causes, Symptoms, Pictures
    https://www.emedicinehealth.com/subconjunctival_hemorrhage_bleeding_in_eye/article_em.htm
    A spontaneous subconjunctival hemorrhage that is not associated with disease or injury typically clears by itself within one to two weeks. Usually, recovery is complete and without any long-term problems, similar to a mild bruise under the skin. Like a bruise, a subconjunctival hemorrhage changes colors (often red to orange to yellow) as it heals.
  • #11 Subconjunctival Hemorrhage (Bleeding in the Eye) Treatment, Causes, Symptoms, Pictures
    https://www.emedicinehealth.com/subconjunctival_hemorrhage_bleeding_in_eye/article_em.htm
    Coughing, straining, sneezing, and vomiting can cause a subconjunctival hemorrhage. […] A subconjunctival hemorrhage appears as a bright red eye or a red patch overlying the white part of the eye (sclera). […] When blood from a leaking broken blood vessel is trapped between the conjunctiva and the sclera, it is called a subconjunctival hemorrhage. […] Most subconjunctival hemorrhages are spontaneous without an obvious cause. They’re typically painless. Often, you discover a subconjunctival hemorrhage on awakening and looking in the mirror, or another person might be the first to notice a red spot on your eye. […] In approximately half of the subconjunctival hemorrhages, the cause is never found. These cases tend to be painless, and they clear on their own within a couple of weeks. […] Most of the time, no pain is associated with a subconjunctival hemorrhage, although some people say the eye feels full or heavy. Depending on the cause, it may be tender to the touch.
  • #12 Subconjunctival Haemorrhage: Symptoms and Treatment | Doctor
    https://patient.info/doctor/subconjunctival-haemorrhage-pro
    Subconjunctival haemorrhage symptoms: […] Red eye, usually unilateral. […] It is usually asymptomatic, but there may be mild irritation of the eye. […] The patient may not be aware of its presence but it has been reported to them by family or friends, who can find its appearance quite alarming. […] Signs: […] The most common appearance is a flat, bright red patch anywhere in the conjunctiva with sharply defined edges and relatively normal conjunctiva surrounding it. […] Overall, subconjunctival haemorrhages are most commonly found in the inferior conjunctiva, but traumatic subconjunctival haemorrhages are more common in the temporal area and tend to be more localised. […] The haemorrhage may spread and become green or yellow, like a bruise. Usually it disappears within two weeks. […] Examination of the eye, including pupil responses and visual acuity, is otherwise normal.
  • #13
    https://www.leightons.co.uk/blog/eye-care/what-to-do-about-a-burst-blood-vessel-in-your-eye
    It can be startling to look in the mirror and see a bright red patch in your eyes. […] A subconjunctival haemorrhage is when a tiny blood vessel breaks just underneath the clear conjunctival layer of the eye. […] Some people might feel a small popping sensation when a subconjunctival haemorrhage occurs, while others wont feel a thing and only notice the haemorrhage when they look in the mirror. […] A subconjunctival haemorrhage is just like a bruise on the skin. It is self-limiting and will resolve without any treatment typically within 7 to 10 days, but can take up to 3 weeks going from red to pink/brown to yellow and eventually clearing completely. […] Usually, a subconjunctival haemorrhage is painless but can result in a generalised tenderness around the eye. […] Additionally, your eye may feel slightly uncomfortable when blinking due disruption to the tear film.
  • #13
    https://www.leightons.co.uk/blog/eye-care/what-to-do-about-a-burst-blood-vessel-in-your-eye
    A subconjunctival haemorrhage can occur due to localised trauma due to injury in which case medical attention should be sought straightaway. […] If you have had a subconjunctival haemorrhage as a result of a head injury, please also seek medical attention straight away. […] Subconjunctival haemorrhages can also occur due to violent coughing, sneezing, straining or vomiting. […] It may also occur due to eye rubbing or straining, such as when trying to lift a heavy object. […] If you notice the blood increasing in volume or your symptoms worsening, consult your doctor. […] If you experience any loss of vision, or pain when moving your eye, you should consult a health specialist to ensure there are no underlying issues. […] Despite looking serious, burst blood vessels in your eyes are rarely anything to be overly concerned about.
  • #14 Subconjunctival Hemorrhage – Ophthalmology LTD
    https://ophthalmologyltd.com/the-eye/eye-disorders/subconjunctival-hemorrhage/
    Most of the time no symptoms accompany subconjunctival hemorrhages; however, some patients complain of a sharp pain when the hemorrhage begins. […] The hemorrhage tends to fade over the following two to three weeks and clears last in the area next to the colored part of the eye (Iris).
  • #15 Subconjunctival Hemorrhage: Why Your Eye Turns Red
    https://www.webmd.com/eye-health/subconjunctival-hemorrhage-eye-red-spot-causes
    A subconjunctival hemorrhage is a red spot on your eye caused by a broken blood vessel. It might look scary, but its usually harmless. […] A subconjunctival hemorrhage is a broken blood vessel in your eye. They’re usually harmless and clear up on their own. […] You might not even know that a blood vessel has broken until you look in a mirror and see a red dot on your eyeball. You probably wont notice any symptoms like vision changes, discharge, or pain. You may have a scratchy feeling on the surface of your eye. […] The red spot may grow over 24 to 48 hours. Then it will slowly turn yellow as your eye absorbs the blood. […] Most red spots heal on their own without treatment. Depending on how big it is, it may take a few days or a few weeks to go away. Theres no way to speed up this process. […] A subconjunctival hemorrhage will usually go away without causing any vision problems. […] Your eye should clear up within a couple of weeks.
  • #16 Subconjunctival hemorrhage: risk factors and potential indicators
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3702240/
    Generally, SCH is most often seen in the inferior and temporal areas of the conjunctiva, but trauma causes localized hemorrhage at the site of injury, especially in the temporal areas. The fibrous connections under the conjunctiva, including elastic and connective tissues, become more fragile with age, and this can be the reason for easy spread of hemorrhage in older patients. Traumatic SCH is more likely to remain localized around the site of impact compared to diffuse SCH-associated systemic vascular disorders. […] The first study on the risk factors was reported by Fukuyama et al in 1990, who showed that local trauma, systemic hypertension, acute conjunctivitis, and diabetes mellitus were the main causes or associated conditions of SCH. On the other hand, the cause of SCH was undetermined in about half of the patients. The relationship between age, local trauma, and systemic hypertension was assessed, and it was demonstrated that hypertension was seen more often in patients older than 50 years; however, local trauma was an important cause in all age-groups.
  • #16 Subconjunctival hemorrhage: risk factors and potential indicators
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3702240/
    Mimura et al showed that the major risk factors for SCH are trauma and contact lens usage in younger patients, and among older patients it is mostly associated with systemic vascular disorders, such as systemic hypertension, diabetes, and arteriosclerosis, which causes the walls of the blood vessels to become fragile. […] Systemic factors that may lead to SCH can be classified as systemic vascular diseases, sudden severe venous congestion, hematological dyscrasias, systemic trauma, acute febrile systemic diseases, drugs, carotid cavernous fistulas (CCFs), menstruation, and delivery in newborns. […] The fragility of conjunctival vessels, as well as every other vessel elsewhere in the body, increases with age and as a result of arteriosclerosis, systemic hypertension, and diabetes. Patients with vascular diseases may present with SCH repetitively, and the association of SCH and systemic hypertension has been investigated many times. Severe SCH can result from uncontrolled hypertension, but it is also known that systemic hypertension may cause SCH even if it is controlled with drugs, because patients with hypertension tend to have microvascular changes in small vessels and in conjunctival vessels.
  • #16 Subconjunctival hemorrhage: risk factors and potential indicators
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3702240/
    Subconjunctival hemorrhage is a benign disorder that is a common cause of acute ocular redness. The major risk factors include trauma and contact lens usage in younger patients, whereas among the elderly, systemic vascular diseases such as hypertension, diabetes, and arteriosclerosis are more common. In patients in whom subconjunctival hemorrhage is recurrent or persistent, further evaluation, including workup for systemic hypertension, bleeding disorders, systemic and ocular malignancies, and drug side effects, is warranted. […] Subconjunctival hemorrhage (SCH) is a common benign condition of the eye that has characteristic features, such as the painless acute appearance of a sharply circumscribed redness of bleeding underneath the conjunctiva in the absence of discharge, and inflammation in contagious areas. Reduction in visual acuity is not expected. It can vary from dot-blot hemorrhages to extensive areas of bleeding that render the underlying sclera invisible. The incidence of SCH was reported as 2.9% in a study with 8726 patients, and increase with age was observed, particularly over 50 years of age. It is thought that this significant increase depends on the increase of prevalence of systemic hypertension after the age of 50 years; also, diabetes mellitus, hyperlipidemia, and the use of anticoagulation therapy becomes more frequent with aging.
  • #16 Subconjunctival hemorrhage: risk factors and potential indicators
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3702240/
    Asthmatic patients may face severe bilateral SCH at the peak of their fulminant attacks of severe asthma. A possible mechanism could be intrathoracic airway pressure rising to overcome airway obstruction, causing sudden congestion of blood into the superior vena cava. […] In conclusion, only recurrent or persistent SCH mandates further systemic evaluation, and no treatment is required unless it is associated with certain serious conditions.
  • #17
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7760
    Subconjunctival hemorrhage, with blood causing a large red area in white of eye. […] Sometimes small blood vessels in the white of the eye can break, causing a red spot or speck. This is called a subconjunctival hemorrhage. The blood vessels may break when you sneeze, cough, vomit, strain, or bend over. Sometimes there is no clear cause. […] The blood may look alarming, especially if the spot is large. If there is no pain or vision change, there is usually no reason to worry, and the blood slowly will go away on its own in 2 to 3 weeks. […] Watch for changes in your eye. It is normal for the red spot on your eyeball to change colour as it heals. Just like a bruise on your skin, it may change from red to brown to purple to yellow. […] Call your doctor or nurse advice line now or seek immediate medical care if: You see blood over the black part of your eye (pupil). […] You have any changes or problems in your vision. […] You have any pain in your eye.
  • #18 Subconjunctival Hemorrhage – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551666/
    Generally, no treatment is indicated for SCH unless associated with a certain serious condition. […] The blood is typically resorbed over 1-2 weeks, depending on the amount of extravasated blood. […] SCH offers a good visual prognosis after resolution. Vision is generally not impaired. […] The recurrence rate for spontaneous SCH is about 10% without identifiable risk factors and higher if patients take anticoagulant or antiplatelet therapy. […] There are no complications surrounding SCH, as most resolve around 2 weeks. […] SCH generally subsides within 2 weeks.
  • #18 Subconjunctival Hemorrhage – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551666/
    Subconjunctival hemorrhage is a common ocular complaint that most clinicians will see in their practice. […] SCH is generally painless but can appear as diffusely hyperemic. […] Elderly patients, especially those with underlying vascular disorders such as hypertension and diabetes, are most at risk. […] Nevertheless, SCH usually does not require specific treatment and should resolve in 1-2 weeks. […] The biggest risk factor for spontaneous SCH is hypertension and other vascular disorders like diabetes and hyperlipidemia. […] Hypertension is the major risk factor for SCH, regardless of whether the blood pressure is controlled by medication. […] Spontaneous SCH has also been shown to be a predictor of hypertension if shown to be high on initial presentation and subsequently at a 1 and 4-week follow-up.
  • #19 Burst Blood Vessel In The Eye? Visit Refocus Eye Health: Bloomfield
    https://bloomfield-jolley.refocuseyedoctors.com/services/eye-emergencies/burst-blood-vessel-in-the-eye-understanding-subconjunctival-hemorrhage-and-its-implications/
    Any changes in vision or episodes of vision loss accompanying the hemorrhage demand immediate medical attention, as they may indicate severe conditions like retinal detachment or optic nerve damage. […] Repeated occurrences, especially in children and the elderly, can signify systemic conditions like hypertension or diabetes. […] Blood pooled in the pupil area (hyphema) can increase intraocular pressure and harm vision, making it a medical emergency. […] These symptoms, along with subconjunctival hemorrhage, suggest infection or inflammation, possibly conjunctivitis or cellulitis, warranting a thorough medical examination.
  • #20 Subconjunctival Hemorrhage – What You Need to Know
    https://www.drugs.com/cg/subconjunctival-hemorrhage.html
    A subconjunctival hemorrhage is when one or more spots of blood appear on the white of your eye. […] There are usually no other signs or symptoms. You may have mild irritation. A subconjunctival hemorrhage does not affect your vision. […] The blood spot usually goes away on its own without treatment. This may take a few days or up to 3 weeks depending on how large the spot is. […] You have eye pain or sensitivity to light. Your vision changes. You have white or yellow discharge from your eye. The redness in your eye has not gone away after 3 weeks. You have another subconjunctival hemorrhage. You have subconjunctival hemorrhages in both eyes. You have questions or concerns about your condition or care.
  • #21 Subconjunctival Hemorrhage
    https://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Subconjunctival_Hemorrhage_-_Ophthalmology.xml?co=/regions/mas
    Sometimes small blood vessels on the white of the eye can break, causing a spot or speck of blood. This is called a subconjunctival hemorrhage. The redness may look alarming, especially if the spot is large. These hemorrhages are very common. If there is no pain or change in your vision, no treatment is needed. The blood will slowly go away on its own in 2 to 3 weeks. […] A subconjunctival hemorrhage causes a spot, or speck, of blood to appear in the white of your eye. The red area can be quite large, and gravity may cause it to spread to the lower portion of the eye. As it heals, the hemorrhage acts like a bruise and will fade and turn yellow. These hemorrhages are harmless and do not affect your vision. […] Watch closely for changes in your health and be sure to contact us if your eye color does not steadily return to normal, or if the blood has not gone away after 2 to 3 weeks. If you develop bruising or bleeding elsewhere, such as the gums, or if you have nosebleeds, contact your personal physician. […] Contact us immediately if: You see blood over the black part of your eye (pupil). You have any changes or problems in your vision. You have any pain in your eye. You have any discharge from your eye.
  • #22 Sub-conjunctival haemorrhage – Overview | Guy’s and St Thomas’ NHS Foundation Trust
    https://www.guysandstthomas.nhs.uk/health-information/sub-conjunctival-haemorrhage
    You will usually notice a small, red spot of blood on the white of your eye. This usually happens suddenly and is not painful. It will not affect your eyesight. […] Although the condition looks frightening, it is never serious. Treatment is not necessary and the haemorrhage will clear up on its own. It is similar to a bruise. The blood should be re-absorbed by your body in 1 to 2 weeks. […] You should tell your doctor or nurse if: you have injured your eye, for example, if something could have got into your eye, like a small piece of metal; you have any other unexplained bleeding or bruising elsewhere on your body; you’ve not had your blood pressure checked recently; you have a blood condition, such as lymphoma or leukaemia; you are on chemotherapy for cancer. […] Contact the eye emergency department if: your symptoms get worse; the haemorrhage does not clear up within 2 weeks.
  • #23 Subconjunctival Hemorrhage (Eye Bruise) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/subconjunctival-hemorrhage-eye-bruise
    A subconjunctival hemorrhage is a red patch on the white part of the eye. It occurs when a blood vessel breaks and is similar to a bruise. […] Usually there are no symptoms. Patients often report that they became aware of it when they looked in the mirror or someone brought it to their attention. In some cases, patients note mild discomfort or foreign body sensation. […] The hemorrhage will heal in a few days to a week or so, like a bruise. […] Call your health care provider if the hemorrhage does not resolve within 2 weeks or your child develops: Decreased vision, Eye pain, Light sensitivity, Recurrent subconjunctival hemorrhages.
  • #24 Burst Blood Vessels In The Eye? | Vision | Andrew Weil, M.D.
    https://www.drweil.com/health-wellness/body-mind-spirit/vision/burst-blood-vessels-in-the-eye/
    The burst blood vessels youre describing are subconjunctival hemorrhages. They occur among the many small and fragile blood vessels in the conjunctiva, the clear membrane that covers the whites of the eyes and lubricates and protects the eyeball. […] When one of these tiny blood vessels bursts, you will notice a bright red or dark spot on the white of an eye. This can result from any number of trivial occurrences sneezing, coughing, straining, crying, vomiting, rubbing your eyes, contact lens use (in younger patients) or trauma (such as a foreign object injuring your eye), but most of the time no obvious cause can be identified. There are rarely any other symptoms, although sometimes you may feel some pain or mild irritation. […] Most of the time, the signs of the hemorrhages clear up without treatment, usually within a week or two. […] Consult your doctor if you experience pain in connection with a subconjunctival hemorrhage, if you notice any changes in vision, have a history of a bleeding disorder, high blood pressure, or have injured your eye. […] You may be able to speed healing by applying warm soaks to your eye.
  • #25 Subconjunctival hemorrhage (broken blood vessel in eye) – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/subconjunctival-hemorrhage/diagnosis-treatment/drc-20353832
    Your doctor or eye doctor will generally diagnose a subconjunctival hemorrhage by looking at your eye. You’ll likely need no other tests. […] You may want to use eye drops, such as artificial tears, to soothe any scratchy feeling you may be experiencing. Beyond that, the blood will absorb within about 1 to 2 weeks, and you’ll need no treatment. […] Do you have any symptoms associated with this?
  • #26 Subconjunctival hemorrhage (broken blood vessel in eye) | Altru Health System
    https://www.altru.org/health-library/conditions/subconjunctival-hemorrhage-broken-blood-vessel-in-eye
    A subconjunctival hemorrhage (sub-kun-JUNK-tih-vul HEM-uh-ruj) occurs when a tiny blood vessel breaks just underneath the clear surface of your eye (conjunctiva). […] The most obvious sign of a subconjunctival hemorrhage is a bright red patch on the white (sclera) of your eye. […] Despite its bloody appearance, a subconjunctival hemorrhage looks worse than it is and should cause no change in your vision, discharge or pain. Your only discomfort may be a scratchy feeling on the surface of the eye. […] A subconjunctival hemorrhage may look alarming, but it’s usually a harmless condition that disappears within two weeks or so. […] You may want to use eye drops, such as artificial tears, to soothe any scratchy feeling you may be experiencing. Beyond that, the blood will absorb within about 1 to 2 weeks, and you’ll need no treatment.
  • #27 Broken Blood Vessel in the Eye: Subconjunctival Hemorrhage
    https://www.verywellhealth.com/broken-blood-vessel-in-the-eye-8643565
    Over time, as the blood breaks down, the red patch may begin to turn bluish and yellow, and the borders may become less distinct. […] Although seeing blood in any part of your eye can be alarming, a subconjunctival hemorrhage is typically not serious and will resolve on its own. In this condition, the blood is found on the white part of the eye. […] If you suddenly notice a blood spot in the white of your eye, this may be due to a subconjunctival hemorrhage. While these may temporarily affect your appearance, they are not painful and typically resolve on their own.
  • #28 Subconjunctival hemorrhage (broken blood vessel in eye) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/subconjunctival-hemorrhage-broken-blood-vessel-in-eye?content_id=CON-20193992
    Health complications from a subconjunctival hemorrhage are rare. If your condition is due to trauma, your doctor may evaluate your eye to ensure you don’t have other eye complications or injury. […] You may want to use eye drops, such as artificial tears, to soothe any scratchy feeling you may be experiencing. Beyond that, the blood will absorb within about 1 to 2 weeks, and you’ll need no treatment.
  • #29 Subconjunctival Hemorrhage in Newborns
    https://www.birthinjuryhelpcenter.org/birth-injuries/delivery-complications/subconjunctival-hemorrhage/
    A subconjunctival hemorrhage in a newborn is a burst blood vessel in the white of the eye. […] A subconjunctival hemorrhage (SCHN) occurs when tiny blood vessels rupture and bleed leaks inside of the conjunctiva. […] It is common for newborns to get subconjunctival hemorrhages. […] Pressure put on the infant by labor contractions and delivery often causes subconjunctival hemorrhages in newborns because pressure forces blood pressure to abruptly rise, pushing blood vessels to the breaking point. […] It is understandably alarming to see a blood spot on your newborns eye. Fortunately, this is the only symptom of common subconjunctival hemorrhages. […] In a standard case, there is no pain or complications caused by the condition. […] Ultimately, subconjunctival hemorrhages are a fairly common and nonthreatening occurrence in newborn infants.
  • #30
    https://www.northbayeye.com/community-content/what-a-broken-blood-vessel-means-for-your-eye
    Keeping chronic conditions, like diabetes and high blood pressure, under control can decrease broken blood vessels. It’s also important to protect your eyes when you use power tools, work with chemicals or hazardous substances, or play sports. Goggles or safety glasses with impact-resistant lenses will prevent broken blood vessels and serious eye injuries. […] Avoiding the urge to rub your eyes will also lower your risk of broken blood vessels. If your eyes often feel itchy and uncomfortable, you may have allergies. Avoiding allergens that trigger your symptoms and taking allergy medication can improve eye comfort and reduce eye rubbing.