A Study on Subconjunctival hemorrhage cases attending ophthalmology outpatient department of a tertiary care teaching hospital in Jharkhand

Madhurima Prasad; Anuj Kumar Pathak; Vishakha Gupta; Rajiv Kumar Gupta

Volume : VII, Issue : XI, November - 2017

A Study on Subconjunctival hemorrhage cases attending ophthalmology outpatient department of a tertiary care teaching hospital in Jharkhand

Madhurima Prasad, Anuj Kumar Pathak, Vishakha Gupta, Rajiv Kumar Gupta

Abstract :

Objective: To determine the demographic pattern, etiology and conditions associated with subconjunctival hemorrhage (SCH). Material and method: This was a prospective, observational and non–interventional study conducted in patients attending ophthalmology department of a tertiary care teaching hospital. All patients with symptoms consistent with the diagnosis of SCH were clinically evaluated and comprehensive ocular and systemic examinations were performed. Data was documented in a predefined proforma and statistical analysis was done with the help Microsoft excel and expressed in descriptive statistics and percentage. Results: Total 73 patients with SCH were analyzed. Male: female ratio was 1.35:1 with female 42.46%. Mean age of the patients were 35.7(±17.2) years. Traumatic cases outnumbered spontaneous SCH. Traumatic was commonly due to blunt trauma and in some cases due to finger nail trauma. Spontaneous SCH was caused mainly by systemic hypertension (53.26%) followed by idiopathic and raised intra abdominal pressure like sneezing, violent coughing etc.

Conclusion: SCH is a common entity in general ophthalmology practice. Various systemic and traumatic etiology and anticoagulant therapy result in acute red eyes. It is a benign condition and patient should be assured regarding the condition as in most of the cases it is self resolving and no specific treatment is needed. In recurrent cases systemic cause should be treated.