A hematoma in the white of the eye is a red spot resulting from the rupture of tiny blood vessels under the conjunctiva. It often occurs due to a sudden increase in blood pressure, injuries, rubbing the eye, or severe coughing.
In some cases, the hematoma usually disappears on its own within two weeks. However, if it is accompanied by pain, blurred vision, or a decrease in vision, it is necessary to consult a doctor.
What is a hematoma in the white of the eye
A hematoma in the white of the eye, also known as a conjunctival hemorrhage or hyphema, is a red spot on the white of the eye caused by the rupture of tiny blood vessels. It is usually a temporary and not serious condition.
Symptoms of a hematoma in the eye
- Blood in the front of the eye.
- Eye pain.
- Sensitivity to light.
- Blurred or cloudy vision.
- Headache.
Types of hematomas in the eye
- Subconjunctival hemorrhage: This is a flat, bruise-like hematoma that is usually asymptomatic and disappears within two weeks.
- A hydatidiform hematoma is a collection of blood in the anterior chamber of the eye that may cover part or all of the iris and cause symptoms such as pain and blurred vision. It can also be painful.
Causes of a Hematoma in the Sclera (White of the Eye)
The causes of a hematoma in the sclera vary, but some common causes include:
- Direct injuries such as rubbing the eye vigorously or being struck.
- Strong coughing, sneezing, vomiting, and lifting heavy objects can also cause a hematoma in the sclera.
- It can appear after eye surgery due to bleeding in the iris or in a scar on the cornea.
- Incorrect use of contact lenses or irritation from the lenses.
- Taking certain medications such as anticoagulants and blood thinners.
- A sudden increase in blood pressure.
How is a Hematoma in the Eye Diagnosed
To determine the cause of a hymatoma, whether it is due to trauma or other reasons, the doctor relies on the following:
- Visual acuity testing.
- A comprehensive eye exam to assess visual acuity.
- Eye examination using a slit lamp.
- Intraocular pressure measurement.
- CT scan to identify any fractures in the orbit.
- Checking for blood disorders such as sickle cell anemia.
When should you consult a doctor
Although blood pooling in the eye is usually not serious, there are some situations that require medical attention, including:
- When changes in vision occur, such as blurred vision or vision loss.
- When bleeding continues and does not stop within two weeks.
- When severe pain accompanies the bleeding.
- When there is significant swelling of the eyelids.
Treating an eye hematoma at home
Mild hematomas may disappear on their own within a week. Treatment for an eye hematoma depends on the patient's condition, age, and response to treatment. The doctor will prescribe pain relievers to alleviate the pain caused by eye pressure and may prescribe lubricating eye drops.
The doctor may prescribe steroid eye drops to reduce inflammation, along with a protective eye patch. Avoid activities that strain the eye, monitor your eye pressure daily, get plenty of rest, and keep your head elevated to facilitate blood drainage.
Medications that treat blood clots in the eye
- Refresh Tears eye drops.
- Normo Tears eye drops.
- Twit Tears eye drops.
- Optiguard eye drops.
- Cornegel eye drops.
- Tobradex eye drops.
- Co Avazir eye drops.
Ways to relieve blood clots in the eye
- Apply cold compresses to the affected eye for 15 minutes three times a day to reduce swelling.
- Avoid rubbing your eye to prevent worsening the blood clot.
- Get plenty of rest.
- Use lubricating eye drops to relieve irritation and dryness.
- Elevate your head while sleeping to reduce pressure on the eye. Frequently Asked Questions
Is a blood spot in the eye dangerous
Red blood vessels in the eye are usually not dangerous and may disappear on their own. However, they can be a sign of a problem that requires a visit to an ophthalmologist, especially if the redness is accompanied by severe pain and blurred vision.
What should be avoided if there is bleeding in the eye
Avoid using aspirin or products containing it, as it may increase the risk of bleeding.
How long does it take for a blood spot in the eye to disappear
A blood spot in the eye usually disappears within a few days to two weeks. It resembles a bruise and changes color. However, if the bleeding is severe, it may take several weeks and requires intervention by an ophthalmologist.
Article Summar
A blood clot in the white of the eye, also known as a conjunctival hemorrhage, is a red spot that occurs inside the eye due to a rupture of tiny blood vessels under the conjunctiva. It is usually painless and does not affect vision.
It can be caused by several factors, including severe coughing, sneezing, rubbing the eye, lifting heavy objects, high blood pressure, or taking blood thinners. It typically resolves on its own within two weeks.