A Comprehensive Guide to Eye Bruising (Subconjunctival Hemorrhage)
Bob Berendsen • May 29, 2024
We’ve all heard of a black eye, but when the blood is in the eye itself, it can be a cause for concern. The typical whites of our eyes having red within them is something akin to the start of a zombie movie or horror film, but fear not! This condition, known interchangeably as eye bruising or subconjunctival hemorrhaging is more common than you’d think.
What Is Eye Bruising (Subconjunctival Hemorrhaging)?
Eye bruising, medically known as subconjunctival hemorrhaging, is when a small blood vessel bursts underneath the conjunctiva, the clear surface covering the white part of the eye (sclera). This causes blood to pool and create a noticeable red or dark patch. It might look alarming, but it's usually harmless and painless.
What Are the Typical Causes?
Here are some of the more common causes of subconjunctival hemorrhages:
- Trauma: A direct hit or injury to the eye can easily cause a blood vessel to burst.
- Sudden Increases in Pressure: Actions like severe coughing, sneezing, heavy lifting, or even vomiting can cause a sudden spike in blood pressure, leading to a burst vessel.
- Eye Rubbing or Straining: Vigorous rubbing of the eyes or excessive strain, for instance, during prolonged periods of computer use, can lead to hemorrhaging.
What Are the Symptoms?
The most obvious symptom of a subconjunctival hemorrhage is the appearance of a red or dark patch on the white of the eye. This patch might be small or cover a larger area, but it doesn't usually cause pain or discharge. Despite its alarming appearance, it also typically doesn't affect your vision.
Who Is More at Risk for Eye Bruising?
While anyone can experience subconjunctival hemorrhaging, certain groups are more at risk:
Older Adults
As we age, the walls of our blood vessels can become thinner and more fragile, making them more susceptible to rupture even with minor increases in pressure. Additionally, age-related health issues such as hypertension and diabetes further contribute to the likelihood of experiencing eye bruising.
People with High Blood Pressure
Hypertension, or high blood pressure, puts additional strain on blood vessels throughout the body, including those in the eyes. This increased pressure can cause the vessels to burst more easily, leading to subconjunctival hemorrhages, especially during activities that cause sudden pressure spikes.
Individuals on Blood Thinners
Medications that thin the blood, such as aspirin, warfarin, or certain supplements, reduce the blood's ability to clot. This means that any minor injury to a blood vessel can result in more significant bleeding, making the appearance of eye bruising more noticeable and frequent.
Diabetics
Diabetes can lead to changes in blood vessels, making them more prone to damage. High blood sugar levels can weaken the blood vessel walls and make them more susceptible to rupturing under pressure or strain.
Those with Blood Disorders
Conditions that affect blood clotting, such as hemophilia or thrombocytopenia, increase the risk of bleeding. These disorders can cause even minor injuries to lead to significant bleeding, including within the delicate vessels in the eyes.
When Should You See a Medical Professional?
While a subconjunctival hemorrhage is often harmless and resolves on its own within a few weeks, there are certain situations when you should seek medical attention:
- Frequent Occurrences: If you find yourself experiencing this condition often, it might indicate an underlying health issue that needs addressing.
- Accompanying Symptoms: If you have pain, vision changes, or a significant amount of discharge, you should see a doctor immediately.
- Trauma-Related Hemorrhage: If the hemorrhage follows a significant injury to the eye, it’s important to get it checked out to rule out other damage.
- Bleeding Disorders or Medication: If you have a known bleeding disorder or are on blood-thinning medication, it’s a good idea to consult a doctor.
How Do Medical Professionals Treat Subconjunctival Hemorrhaging?
For most cases of subconjunctival hemorrhage, no treatment is necessary. The blood will reabsorb into the body naturally over time. However, here’s what you can expect if you visit a medical professional:
- Diagnosis: Your doctor will conduct a thorough examination of your eye, including asking you about your medical history and any recent activities that might have resulted in trauma, to confirm the hemorrhage and rule out any other issues.
- Monitoring: If the hemorrhage is linked to an injury or a medical condition, your doctor may want to monitor your progress to ensure there are no complications.
- Addressing Underlying Conditions: If an underlying health issue like hypertension or diabetes is identified, managing this condition will be part of your treatment plan.
- Advice and Prevention: Your doctor might provide advice on preventing future hemorrhages to help lessen the risk of getting more eye bruises.
Preventive Measures and Home Care
While you can't always prevent subconjunctival hemorrhages, there are steps you can take to minimize your risk. Keeping your blood pressure under control with a healthy diet, regular exercise, and prescribed medications if necessary is one way to prevent eye bruising. Another is to avoid rubbing your eyes vigorously and to take breaks when using screens for extended periods of time to reduce eye strain.
If you’re involved in activities that could result in eye trauma, such as certain sports, make certain you have the correct protective eyewear to keep your eyes safe. If you're on blood thinners as well, follow your doctor's advice and report any unusual bleeding, whether in your eye or another location.
Finally, the best way to be fully preventative is to always keep to regular check-ups and to manage conditions like diabetes so that your blood vessels stay as healthy as you can.
At Baptist Eye Surgeons, we provide optical relief and care to patients throughout Tennessee. If you’re having trouble with eye bruising, contact us today on our website or by phoning (865) 579-3920 for an appointment!
Dry, itchy or watery eyes can make simple day to day activities quite uncomfortable, particularly if the symptoms are affecting your ability to read, work or enjoy time outside. The two most common causes of eye discomfort are dry eye disease and eye allergies. They can present in a very similar way so it's important to be able to differentiate between the two in order to know when you need to see an eye care professional. An eye examination at Baptist Eye Surgeons will help to establish the cause of your symptoms and will allow us to recommend the most appropriate treatment. What is the difference between dry eye and eye allergies? Dry eye disease is essentially the condition where your eyes either aren't producing enough tears or the tears produced are evaporating too quickly to adequately lubricate the surface of the eye. The result is typically irritation, redness, a gritty feeling and sometimes quite the opposite of what you'd expect in the form of excessive tearing. Eye allergies (allergic conjunctivitis) are basically your immune system reacting to an allergen (pollen, dust mites, mold, pet dander etc). The result of that reaction is the release of histamine and other mediators which can lead to itching, redness and swelling. As both conditions may result in red, watery and uncomfortable eyes, it's important to be able to recognize the specific symptoms in order to get to the root of the problem and find relief. Dry Eye vs. Allergies: Common Symptoms to Watch For Although there is some overlap between the two conditions there are certain symptoms which may help you to tell them apart. 1. Itchy Eyes vs. Burning and Grittiness One of the most obvious differences is the kind of discomfort you're suffering. Eye allergies are very much associated with intense itching (to the point where you're constantly itching the eyes) and with swelling of the eyelids. Dry eye disease is more likely to cause a burning, stinging sensation (as if something is in your eye) or a gritty feeling. Your eyes will often feel tired and/or irritated, particularly after reading, working at a computer or being in an air conditioned environment. 2. Watery Eyes and Excessive Tearing Both dry eye and allergies can lead to watery eyes, just that the mechanism is different in each case. With dry eye disease, irritation can trigger a reflex which results in an overproduction of watery tears. These tears may well be in fact more of a problem than a solution as they won't provide the sustained lubrication that your eyes require. With allergies you often get watery eyes along with itching, redness and swelling of the eyelids. These can become quite apparent after exposure to pollen, dust and so on. 3. Seasonal Symptoms and Environmental Triggers The timing of your symptoms can be of some use in terms of giving you a clue. Eye allergies are a common problem and tend to be worse at certain times of year (particularly when pollen counts are high). They can also occur year-round if you're exposed to indoor allergens such as dust mites and pet dander. Dry eye symptoms can occur all year round and can be made worse in dry, windy or air conditioned environments. Lengthy screen time, ageing, certain medications and some medical conditions may all contribute to dry eye disease. 4. How Symptoms Affect Both Eyes Allergic conjunctivitis will typically affect both eyes and is very often associated with quite marked itching. Dry eye can also affect both eyes, though the symptoms may be quite different in the two eyes. Neither pattern alone is definitive for determining the cause of eye irritation. How Are Dry Eye and Eye Allergies Diagnosed? An eye exam enables your eye care professional to assess your symptoms, take your medical history and look for any signs of irritation or inflammation. Depending on your symptoms, the testing may look at tear production, tear quality, tear evaporation and the surface of the eye. Your eye care professional may also look at environmental triggers and other conditions which may be playing a part in your symptoms. Accurate diagnosis is important as dry eye and allergies can require different treatments and in some cases both can be present at the same time. How can you find relief from eye irritation? Treatment is dependent on the etiology of your symptoms. Artificial tears may be of some help in the relief of dry eye discomfort, allergy medication or antihistamine eye drops may be of benefit in the management of allergic symptoms. Your eye care professional will be in a position to advise you on the most appropriate options for you. Don't rub your eyes and consider minimizing exposure to any known irritants/allergens. If the symptoms continue, get worse or keep coming back then you should have an eye exam rather than just carrying on treating them without knowing the actual cause. Get prompt medical attention for severe eye pain, sudden change in vision, intense light sensitivity or severe redness. Protecting Your Eye Health Knowing the difference between dry eye and allergies can go a long way to helping you understand your symptoms and get to the root of the problem so that you can take appropriate steps to alleviate them. The issue is that the two conditions can present with such similar symptoms that a proper assessment by a professional is often the only way to work out which one you actually have. If you are experiencing persistent itching, burning, redness, or watery eyes, schedule an appointment with Baptist Eye Surgeons. An eye care professional can help identify the source of your symptoms and develop a treatment plan to support your comfort and long-term eye health.
A thorough eye exam is an important part of keeping your vision healthy and protecting your eyes. If you are arranging for your first eye examination as an adult, if you are taking a child in for an evaluation, or if you have noticed any changes in your vision, knowing what to expect can help make the experience more comfortable. The eye exams carried out at Baptist Eye Surgeons not only check your vision but also look at your general eye health and spot any possible problems that might call for further investigation. What is the Importance of Eye Examinations? An eye examination does not merely enable one to find out if glasses or contact lenses are required. It lets an eye care professional assess how well your eyes are working and spot the signs of common eye conditions. Some eye conditions can progress slowly without symptoms. Regular eye checkups can help detect changes earlier and make sure you receive appropriate treatment when needed. Step by step: The Process Involved in Having an Eye Examination Even though the different appointments may vary according to your particular needs, a typical full eye examination will involve a number of significant steps. 1. An Examination of Your Medical & Eye History Your appointment may start with questions about your vision, medical history, medications, any previous eye conditions, and your family history of eye disease. Be sure to report any changes in your vision, eye discomfort, headaches, or other concerns you have noticed. Your eye care professional may also ask about the glasses or contact lenses you currently use and how well they work for you. 2. Checking Your Vision A well-known part of an eye examination is the visual acuity test. You might be asked to read some letters or symbols from a chart at a set distance. This lets doctors assess how clearly you can see and decide whether corrective lenses would help. Further testing could assess your ability to see up close and the way well your eyes work together. 3. The Measurement of Eye Health & Function Your eye care professional might carry out a number of tests in order to assess the health and functioning of your eyes. The tests involved may vary depending on your age, symptoms, and risk factors and could include measuring eye pressure, examining eye movement and coordination, and looking at the structures at the front and back of the eye. They can help spot possible signs of eye disorders. 4. Discussing Your Results Your ophthalmologist will review the results with you after the examination. If your vision has changed, they may suggest new prescription lenses. If they spot an eye condition or another issue, they could recommend further testing, further monitoring, or treatment. It is also a good chance to ask questions regarding your eye health and the recommended follow-up care. What Should You do to Get Ready for your First Eye Examination? Having an eye examination usually involves nothing complicated. It is a good idea to take with you your present glasses or contact lens details and to be ready to give a list of any medications as well as any applicable medical or family history. Additionally, it might be helpful to remember any vision changes or symptoms you have had. Dilation may occur during the examination if certain tests are performed. After dilation has been advised, your vision might be temporarily blurred or more sensitive to light. Supporting Healthy Vision The initial eye examination is a valuable chance to determine a baseline for your eye health and understand your specific vision needs. Regular eye exams help monitor changes over time and support early detection of possible eye conditions. Plan a visit with an eye care professional if you have discovered any changes in your vision or if you're due for a check-up.
Healthy vision is essential for a child's development, learning, and daily activities. From recognizing faces in infancy to reading, participating in sports, and navigating school, children depend on their eyesight to interpret and relate to their environment. Knowing typical vision milestones helps parents spot possible issues and seek appropriate care when needed. How Does Vision Develop in Children? Vision develops rapidly during the first years of life. Newborns perceive light, shapes, and nearby objects, although their vision remains immature. As children mature, their capacity to focus, track moving objects, recognize details, and coordinate both eyes improves progressively. Due to the gradual nature of visual development, regular eye examinations are essential. Certain childhood vision problems may not be readily apparent, especially when one eye is stronger than the other. Although each child develops at an individual pace, several general vision milestones may guide parental observation. 1. Infants: Birth to 12 Months Within the first year, infants typically develop the ability to focus on faces and objects, visually track moving items, and reach for objects they observe. Caregivers may also observe infants responding to known faces and visually exploring their environment. If an infant does not track objects, exhibits eyes that frequently cross or wander, or fails to respond visually to people or objects, these concerns should be discussed with a pediatrician or eye care professional. 2. Toddlers: Ages 1 to 3 As children become more active, their visual skills continue to develop. Toddlers rely on vision to walk, climb, manipulate small objects, and interact with toys. Over time, they typically improve in identifying familiar people and objects and in coordinating eye and hand movements. Frequent eye rubbing, squinting, sitting close to screens, or difficulty seeing objects could indicate the need for an eye exam. 3. Preschool and School-Age Children By preschool and early elementary school, children utilize vision for detailed activities including coloring, drawing, letter recognition, reading, and participating in games. Effective eye coordination and focusing abilities support learning and classroom performance. Children may not always realize their vision differs from other children’s, so parents should watch for signs such as headaches, avoiding reading, losing their place while reading, holding books unusually close, or struggling to see the board. Signs of Possible Vision Problems Caregivers should monitor for changes in a child's vision or behavior. Potential warning signs include: Frequent squinting or eye rubbing Eyes that cross, wander, or do not move together Complaints of blurry or double vision Frequent headaches Difficulty reading or concentrating Sitting very close to a television or screen Tilting or turning the head to see Covering or closing one eye Difficulty recognizing objects or seeing at a distance Avoiding activities that require close or distance vision If you notice these signs, speak with a pediatrician or eye care professional. The Importance of Children’s Eye Exams Regular eye examinations can identify vision problems before they interfere with learning and development. Eye care professionals assess visual acuity, binocular coordination, and common childhood eye conditions. Early detection matters because some vision problems are easier to address when identified in childhood. Parents must follow their child’s healthcare provider's recommendations for vision screenings and comprehensive eye exams. Helping Protect Your Child’s Vision Caregivers can promote healthy vision by encouraging beneficial habits. These include spending time outdoors, taking regular screen breaks, using appropriate protective eyewear during activities, maintaining a balanced diet, and attending recommended pediatric and eye care appointments. Supporting Healthy Vision at Every Age Knowing children's vision milestones helps caregivers distinguish typical development and spot possible issues early. Throughout infancy and the school years, monitoring how a child sees, focuses, and interacts with their environment is vital for supporting healthy development. If you notice concerns about a child's eyesight or alterations in vision, consult a healthcare provider or eye care professional. Early attention to vision supports learning, development, confidence, and overall quality of life.
