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HOW TO TREAT BROKEN BLOOD VESSEL IN EYE: what does it mean & how to treat bleeding or bloodshot eye



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hey does your eye look like mine

yeah well if it does you might have a

subconscious hemorrhage

and today i'm going to tell you what

that is and what you can

and what you need to do about it i'm dr

michael nelson

and this is good optometry morning

so what is a subconscious hemorrhage

let's break it down into terms so it

talks about the conjunctivity so the

conjunctiva

is the clear multi-layered loose tissue

that sits over top of the white part of

the eye and the conjunctiva has lots of

little tiny blood vessels

that run through it and if one of those

blood vessels breaks

you will get a little hemorrhage hence

the name sub

conjunctival hemorrhage but basically a

subconscious hemorrhage

is a fancy name for a bruise so if you

get a bruise on your arm

or on your leg you get a broken blood

vessel underneath the skin

and it appears black or blue because you

see it through the skin

now when you get one on the conjunctiva

the conjunctiva is clear and so it

appears red

what causes a subconjunctival hemorrhage

i've got the seven most common reasons

for a subconjunctival hemorrhage and i

will list them in order

of the least to the most common reasons

that i have seen in my clinic

so reason number one is some type of

surgery to the eye now this is the least

common reason why i see in my clinic

because usually people can figure out i

had some type of surgery in my

that's probably why i have this little

hemorrhage so this will typically be any

type of surgery

where they make an incision on the white

part of your eye

so this will include any type of retinal

surgery including

injections inside the eye it can also

include refractive surgery because

sometimes the pressure that they use

for some of the instruments can cause a

break in one of the blood vessels it

typically won't happen

in cataract surgery but it can because

cataract surgery usually makes an

incision

right in the cornea where there's no

blood vessels okay reason number two

some type of bleeding disorder

now when most people think of bleeding

disorders they immediately think of

hemophilia but hemophilia is actually

pretty rare

there's actually a more common bleeding

disorder which you've probably

never heard of it's called von

willebrand disease and

basically these conditions are

conditions where your blood does not

clot as easily and so you're gonna be

more prone

to get bruising including bruising on

your eye reason number three

high blood pressure if you have

uncontrolled or higher blood pressure

that's gonna mean that your blood

vessels are going to more likely

have a break in them and cause a little

hemorrhage and so uncontrolled

blood pressure could cause a hemorrhage

like this reason number four

you're taking an anticoagulant or some

type of

medication that's a blood thinner so

most people are taking a blood thinner

because they have some underlying heart

condition or they are at risk for

developing strokes

and so these will slow down your ability

to clot and so you will be more prone to

develop bruising there's a whole bunch

of these blood thinners but probably the

most common one that people are on that

they may not realize is a blood thinner

is a baby aspirin all right reason

number five is related to number three

in blood pressure but basically anything

that can cause a sudden increase of your

blood pressure to your head

can cause a hemorrhage like this so this

can include anything like

coughing sneezing vomiting straining

heavy lifting

anything that will cause a temporary

increase to the blood pressure

could cause a hemorrhage like this

number six is a pretty obvious one

any type of trauma if you get hit in the

eye you are more likely to get some type

of bruise

and number seven and by far this is the

most common reason that i see in the

clinic

of why people get this is under the

category of idiopathic

idiopathic is a medical term for when

some type of condition occurs

but we don't have an explanation why

basically we don't know

but seriously we've ruled out all the

other serious conditions

and we know it's there but we don't

really have an explanation idiopathic

subconscious hemorrhage is probably the

most common reason

that i'll see in my clinic for these

hemorrhages but you need to rule out all

the other reasons

so when we are looking for signs of some

type of eye disease there's going to be

something called a differential

diagnosis

and so what this means is that there's a

list of things that

look like a certain condition but maybe

something else that we need to rule out

and make sure it's not that

so there is a differential diagnosis for

subcontractile hemorrhages

there's a few types of rare tumors

that can happen on the eye that will

look like a subconjunctival hemorrhage

and so when a patient comes in

and so when you go in to get this looked

at your optometrist needs to rule that

out all right so you know what this is

and i've given you a list of possible

reasons

why you may have had this so the

question is should you see your

optometrist

well i would recommend you still go and

see your idoc because it's important for

them to differentiate

some of these rare and more serious

conditions and especially if this is due

to some type of trauma

because an injury that causes a

hemorrhage could also cause a hemorrhage

inside the eye on the retina

or it can cause a retinal detachment or

it can cause some other inflammations

inside the eye that need to be treated

so you've seen your optometrist they've

made the diagnosis

they may have even told you exactly why

this is happening in you

what are you going to do about it well

i've got good news for you because these

usually resolve in about two weeks but

if you take really really good care of

them

you can probably get them to go away in

about 14 days

this is a bruise and the treatment for

it is the same thing

as when you get a bruise for your arm

what do you do you wait there's really

nothing you can do

to make it go away faster you just have

to give it some time and the body

will clear that out okay so i know you

still have a few questions

about subcontract alpha hemorrhages and

i'm going to answer those right now

so if you're taking a blood thinner and

you think this might be related to it

should you stop taking the blood thinner

the answer is absolutely

do not stop taking your blood thinners

unless you talk to your physician first

you have to remember this is a bruise

and this is going to heal up on its own

if you're on a blood thinner it's

probably going to take a little bit

longer for it to heal

but remember the reason why you're on

the blood thinner you're on the blood

thinner

to prevent a heart attack and to prevent

a stroke those are way more serious

than a broken blood vessel all right so

this is gonna bother

everyone else way more than it's gonna

bother you

you're gonna forget about it and you're

gonna get people asking you multiple

times a day

oh what's wrong with your eye what

happened to your eye and you actually

forgot about it and you say oh yeah it's

just a bruise

don't worry about it too much you might

be thinking that yours is getting bigger

and it probably is

the conjugative is a very loose tissue

and so blood can spread

easily all throughout that tissue and

typically what gravity will do

is it'll pull the blood down and spread

it and it'll pull to the bottom and

it'll make it look like the hemorrhage

is getting bigger when in actual fact

it's just spreading to a larger area so

your eye might be a little bit tender

but remember what this is it's a bruise

if you bruise your arm is it a little

bit tender

absolutely is so naturally your eyes get

to probably

feel a little bit tender and a little

bit sore that's a normal feeling

it might even feel a little bit swollen

or a little bit more

full this is not an infection and you're

not

at risk for developing an infection and

as a result you don't need any

antibiotics or eye drops to help clear

this up

so on the topic of eye drops there are

some over-the-counter anti-redness eye

drops

and those will do nothing for this those

medications are designed to constrict or

shrink the blood vessels

to make your eyes look a little bit more

white but these anti-redness eye drops

they won't help the redness on your eye

go away any faster

so definitely don't use them so as this

heals

it's going to change color right now

mine is a dark red color

and that's going to go to kind of a

brown to kind of an orange bronzy color

and then to a yellow as it slowly fades

away so that change in color is a normal

process

this will not affect your vision so so

the conjugative

is not really connected to the cornea so

this hemorrhage can't spread under the

cornea

so it can't interfere with your vision

in any way

so when you see your optometrist they're

going to do a few tests they're going to

check your vision

they're going to figure out with you

what has caused this they're gonna

probably measure the pressure inside

your eye

they may measure your blood pressure

they will give you some advice

on what's causing this and what you need

to know about it but one important thing

to know is

that these shouldn't happen on a regular

basis if if you start getting

subconscious hemorrhages regularly

you should probably see your optometrist

and you should probably also see your

physician

to see if they have a reason why you're

getting these repeated hemorrhages so

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optometry day