Subconjunctival hemorrhage may not always be benign [Subkonjonktival hemoraji her zaman masum olmayabilir]

Abstract

A 19-year-old male patient was admitted to emergency department complaining of redness in the right eye. His compliant was not associated with vision changes, increased tearing, pain, or trauma. The best-corrected visual acuity was 1.0 in both eyes. A slit-lamp biomicroscopic examination revealed subconjunctival hemorrhage (SCH) in nasal and inferior parts of the right eye. Intraocular foreign body which was located in peripheral retina was detected under fundus examination of the right eye. After detection of foreign body, detailed anamnesis was taken. According to anamnesis, a glass was broken at home one day ago and it was thought that intraocular foreign body could be a splinter from a glass. There were no abnormal findings on fundus and anterior chamber examination in the left eye. Argon-Laser photocoagulation was performed around the foreign body which was located in peripheral retina of right eye. Topical antibiotic and anti-inflammatory treatment were given and patient was followed closely. At last follow-up 9 months later, visual acuity was 1.0 and there was no sign of inflammation. Although SCH is generally a benign condition, clinicians should take detailed medical history and examine all parts of eye including peripheral of retina. © 2016 Gazi Eye Foundation. All Rights Reserved.