What is the appropriate management for spontaneous onset of subconjunctival hemorrhage?

The appropriate management for spontaneous onset of subconjunctival hemorrhage primarily involves checking the patient's blood pressure and providing reassurance. This condition often appears alarming to patients due to the dramatic visual presentation, but it is generally benign and self-limiting.

When a subconjunctival hemorrhage occurs spontaneously, it typically indicates that a small blood vessel within the conjunctiva has ruptured, and while the cause can vary, it often does not signify a serious underlying condition. Checking the blood pressure is important because hypertension can be a contributing factor; if elevated blood pressure is identified, it may require management. However, if the blood pressure is within normal limits, reassurance is essential to alleviate any anxiety the patient may have regarding their condition.

Providing reassurance helps the patient understand that, while the appearance can be concerning, most cases resolve without intervention within a few weeks and aren’t usually associated with pain or vision changes.

Other options such as immediate surgical intervention, prescribing antibiotics, or using topical steroids are not appropriate for managing a typical case of subconjunctival hemorrhage. Surgical intervention is reserved for more complex cases or those associated with trauma or significant complications. Antibiotics are unnecessary, as subconjunctival hemorrhage is not an infectious condition. Topical steroids