Hypophysis: Etiology and Clinical Management of Subconjunctival Hemorrhage
What is the Hypophysis?;
A hypophlegm is the accumulation of blood in the space between the conjunctiva (the transparent lining that covers the white part of the eye) and the sclera. It is caused by the rupture of a small blood vessel, resulting in blood being trapped under the transparent tissue.
Causal Factors
Engineers: Severe coughing, sneezing, vomiting or heavy weight lifting (Valsalva test).
Pathologists: More common in patients with diabetes mellitus or arterial hypertension.
Others: Injury, postoperative phase or taking anticoagulant drugs.
Clinical Image & Diagnosis
It is characterized by a uniform, bright red spot that covers part or all of the white of the eye. The diagnosis is made by clinical examination, while vision is always unaffected. Recovery is spontaneous and lasts from 1 to 3 weeks, depending on the extent of the bleeding.
Does it need treatment?;
No. Like a bruise on the body, the blood in the eye will be absorbed by the body on its own. Gradually its colour will change from bright red to orange or yellow, until it disappears completely within 10-20 days.
Frequently Asked Questions
Does the hypophysis hurt?;
There is usually no pain at all. Most patients discover it accidentally by looking in the mirror. In some cases there may be a very slight feeling of “weight” or foreign body, but nothing more.
Will my vision be affected?;
No, the vision remains perfectly normal. The blood is on the outside, under the conjunctiva, and does not enter the inside of the eye. If you notice blurred vision along with the blood, then you should contact your ophthalmologist immediately.
Do I need to measure my blood pressure?;
Yes, it's a good idea. Although hypoplasia is harmless to the eye, if it occurs frequently, it can be a sign of unstable blood pressure. Also, if you are taking anticoagulant medications (aspirin, etc.), let your doctor know.
Are there drops that disappear blood faster?;
Unfortunately not. There's no such thing as an eye drops that speeds up blood absorption. If your eye feels dry or slightly irritated, you can use artificial tears for relief.
Can I continue with my daily activities?;
Sure. You can read, drive and work normally. It is only advisable to avoid vigorous eye rubbing for the first few days.
When is red eye a concern?;
If the blushing is accompanied by pain, photosensitivity ή decrease in vision, then it is not a simple hypophlegm but something more serious (such as iritis or ulcer) and immediate examination is required.