It can be startling to look in the mirror and see a bright red patch in your eyes. Despite being reminiscent of a horror movie, a burst blood vessel in your eye, also known as a subconjunctival haemorrhage, is rarely anything to be worried about and will clear up by itself in a few days.

Read on to learn more about the causes and what to do if you have a burst blood vessel in your eye.

What is Subconjunctival Haemorrhage?

A subconjunctival haemorrhage is when a tiny blood vessel breaks just underneath the clear conjunctival layer of the eye. The blood gets trapped between the sclera (the white of the eye) and the clear conjunctival layer, leaving a red patch or streak that can look quite dramatic.

Some people might feel a small popping sensation when a subconjunctival haemorrhage occurs, while others won’t feel a thing and only notice the haemorrhage when they look in the mirror.

A subconjunctival haemorrhage is just like a bruise on the skin. It is self-limiting and will resolve without any treatment – typically within 7 to 10 days, but can take up to 3 weeks – going from red to pink/brown to yellow and eventually clearing completely.

Usually, a subconjunctival haemorrhage is painless but can result in a generalised tenderness around the eye. Additionally, your eye may feel slightly uncomfortable when blinking due disruption to the tear film. An over the counter ocular lubricant can help to provide some relief from this discomfort.

What are the Reasons Behind a Blood Vessel Bursting in the Eye?

In most cases, a subconjunctival haemorrhage occurs spontaneously with no underlying reason, but there is a higher incidence of subconjunctival haemorrhage in those over 50.

Young woman rubs her eyes.

Common causes of burst blood vessels include

  • Violent coughing
  • Powerful sneezing
  • Straining
  • Vomiting
  • Roughly rubbing your eye
  • Trauma, such as from a foreign object

A subconjunctival haemorrhage can happen to anyone but is more common in those with vascular diseases such as high blood pressure or diabetes or those with some blood conditions. In these conditions, the blood vessels become more fragile and are, therefore, more prone to breaking. People on medications such as blood thinners (aspirin, warfarin, etc.) and non-steroidal anti-inflammatory drugs (NSAIDs) may also have a higher incidence of subconjunctival haemorrhages.

A subconjunctival haemorrhage can occur due to localised trauma due to injury in which case medical attention should be sought straightaway. If you have had a subconjunctival haemorrhage as a result of a head injury, please also seek medical attention straight away.

Subconjunctival haemorrhages can also occur due to violent coughing, sneezing, straining or vomiting. This action briefly raises the pressure within the veins, leading to the rupturing of one of the fine capillaries. It may also occur due to eye rubbing or straining, such as when trying to lift a heavy object. It’s also not uncommon for a subconjunctival haemorrhage to occur following eye surgery.

What should you do if you have a burst blood vessel in your eye?

Woman use soap and washing hands under the water tap.

1. Remain calm

Although it can be worrying when you spot a burst blood vessel in your eye, it’s important to remain calm – it’s unlikely to be due to anything serious.

2. Avoid rubbing

Whatever you do, don’t rub your eye. It might feel swollen and tender, and rubbing it can worsen the problem.

3. Good hygiene:

Before touching your eye in any way, wash your hands with warm water and soap.

4. Use a cold compress

Apply a cold compress to reduce swelling and soothe your eye, as well as minimise any pain.

5. Artificial tears

Artificial tear drops may help relieve any irritation. And if required, you can use your preferred pain relief as necessary.

6. Limit strain

Try to limit any activities that can raise your blood pressure – no heavy lifting, and no straining on the toilet.

A woman wearing sunglasses and smiling.

7. Wear sunglasses

If you’re uncomfortable with people seeing your eye looking so bloodshot, feel free to wear sunglasses if you need to.

8. Monitor symptoms

Monitor your eye over the next few hours and days – if you notice the blood increasing in volume or your symptoms worsening, consult your doctor.

9. Avoid certain medications

Some medications, such as aspirin, can thin your blood and worsen the blood pooling. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can also make you more prone to developing a subconjunctival haemorrhage. If you can, avoid taking these medications.

10. Consult a health specialist doctor

It is advisable to have your vascular health checked as a precaution just to make sure there is no underlying health condition that has caused the subconjunctival haemorrhage to occur.

Doctor Checking Patient's Blood Pressure.

If you have had a subconjunctival haemorrhage, this may result in a weakened blood vessel in the area, and you may experience another subconjunctival haemorrhage in future. If you experience repeated subconjunctival haemorrhages, please see your GP to review your vascular health and advise your GP of the incidence of subconjunctival haemorrhages.

If you experience any loss of vision, or pain when moving your eye, you should consult a health specialist to ensure there are no underlying issues.

What are the risk factors for a subconjunctival haemorrhage?

Diabetes

Diabetes is a condition that can damage blood vessels all over the body. The damage to your eyes starts when sugar in your blood blocks the tiny blood vessels that go to your retina, causing them to leak fluid or bleed.

High blood pressure

High blood pressure can cause the small capillaries in you to burst. This is why you should have your blood pressure tested if you’re prone to subconjunctival haemorrhages.

Blood clotting disorders

If your blood has trouble clotting, this can make your blood thin, which means you might bleed a lot more than normal over even the smallest cuts.

Final thoughts

Despite looking serious, burst blood vessels in your eyes are rarely anything to be overly concerned about. However, if you are prone to them and get them repeatedly, or if you have a long-term health condition like hypertension or diabetes, it’s important to get your health checked out by your GP.

Your eye health is important, so make sure you’re booking your regular eye tests with Leightons.

Book an eye test

You may also like

Are contact lenses and glasses prescriptions the same?
Are contact lenses and glasses prescriptions the same?
While both glasses and contact lenses do the same job in correcting your eyesight, there are some obvious differences in how each is worn. Glasses rest on the nose and are positioned away from the eyes, whereas contact lenses are in direct contact with your eyeball. These differences are the fundamental reasons why contact lenses and glasses prescriptions are absolutely not the same. In this article, we’ll explain why in more detail. Contact lens vs glasses prescription – what’s the difference? Quite simply, the lenses in your glasses will be very different to your contact lenses. That’s because each type of lens refracts light differently and therefore during an eye test, different measurements have to be made. The measurements from one eye test are not compatible with the other. So, is the prescription for contacts the same as glasses? The answer is NO because you need to have 2 separate eye tests, which will result in 2 different prescriptions. Contact lens prescription A contact lens prescription comprises a set of measurements relating to the curvature, size and power of the contact lens along with other relevant information. These measurements are carried out by an optometrist, also known as an ophthalmic optician. Glasses prescription An optometrist or ophthalmic optician is also responsible for carrying out the actual eye tests for glasses and lenses. The tests are to determine the strength of the lenses you require, along with other factors such as eye dominance, pupillary distance and axis number. All this information will be included in your glasses prescription. Learn how to read your glasses prescription How to read your contact lens prescription Have you ever wondered what all the abbreviations and letters on your contact lens prescription mean? Read on to find out. What does Base Curve (BC) mean? Base Curve (BC) refers to the specific curve with which a contact lens is made. Different corneal curves will need different base curve lenses, although with modern more flexible contact lens materials, there is some lea way in this. What does Diameter (DIA) mean? This measurement refers to the Diameter (DIA) of the contact lens itself and corresponds with the size of your cornea. It is the measurement from one edge of the lens to the other and is measured in millimetres. What does Power/Sphere (PWR/SPH) mean? The term Power (PWR) together with Sphere (SPH) refers to the strength of the lens. For long-sightedness this figure will show a plus sign (+) and for short-sightedness, it will begin with a minus sign (-). Other contact lens prescription figures People who have an eye defect such as astigmatism, will need to wear toric lenses and therefore will see additional words or abbreviations on their prescription. The same applies to people who might have presbyopia or short-sightedness, and have a prescription for varifocal or multifocal contact lenses. Other contact lens prescription figures are Prism, which refers to a lens or lenses that are designed to correct double vision. Also, Pupillary Distance (PD), which is a term that relates to the distance between the centre of your pupils. It is measured in millimetres and it is important that this measurement is accurate to ensure clear and comfortable vision. OD - Stands for Oculus Dexter, which means ‘right eye’ OS - Stands for Oculus Sinister, which means ‘left eye’ BAL - Stands for Balance, which means both eyes are prescribed the same lenses. DS - Stands for Dioptres Sphere, which means the eyes are spherical in shape. VA - Stands for Visual Acuity, which is a measurement of how clearly a person can see with corrective lenses. This measurement is expressed as a fraction. Your contact lens prescription might also include the brand or manufacturer’s name. What does Cylinder (CYL) mean? The term Cylinder (CYL) refers to an astigmatic prescription. if you have astigmatism then your eye will be more oval-shaped as opposed to globe-shaped. With this condition, you would need specially designed contact lenses called Toric lenses. What does Axis (AX) mean? Axis (AX) refers to the angle that the cylinder or astigmatic correction is placed in order to provide clear vision. This is a number, which is measured in degrees from 0 to 179. What does Addition (ADD) mean? The term Addition (ADD) refers to the amount of additional correction required to see clearly nearby and is given over and above the distance contact lens prescription. Multifocal contact lenses will have an ‘add’ in their prescription. An ‘add’ is generally only required when you develop presbyopia (an age related inflexibility of the intraocular lens, that typically starts between age 40and 45) What does Dominant mean? Most people have a Dominant eye which they unconsciously favour slightly, and a non-dominant eye. Certain contact lenses are best fitted taking this into account (generally multifocal contact lenses). Typically the dominant eye is fitted with the D lens (for better Distance vision) and the non-dominant eye is for better Near vision (this would be the N lens). Can you convert a glasses prescription to a contact lens prescription? No, it’s not possible to do this because the optics of the lenses are different. Likewise, you cannot convert a contact lens prescription to a glasses prescription. How to get a contact lens prescription If you would like to know how to get contact lenses then you will first need to make an appointment with your optician for a contact lens prescription. Your appointment with your optician will include an assessment and a contact lens eye test. This is a different eye test to the type you would need for glasses. After your initial assessment and test, you will then need to have a contact lens fitting. Your optician will demonstrate how to safely insert and remove your lenses and how to care for them. Finally, you will receive your free written contact lens prescription. You can buy your contact lenses from the optician that carried out your eye test or you can buy them from another optician or an online supplier. Contact lenses need to be reviewed more frequently You should be aware that your eyesight can change over time so it’s important you get your eyes retested at least every 2 years. If you notice any changes in your vision at any time before that period then contact your optician for a check-up. Book a contact lens consultation today.
Navigation Previous
Navigation Next