This guideline last updated 06/05/2022 17:49:18

Differential diagnosis

• Haemorrhagic conjunctivitis
• Conjunctival neoplasms with secondary haemorrhage
• Kaposi’s sarcoma

Possible management by Optometrist

Treatment

• Tear supplement / ocular lubricant if mild ocular irritation is present
• Consider ocular/orbital involvement in patients on anticoagulation
• Retinal haemorrhage
• Diplopia
• Proptosis

Advice

• Reassure patient
• Condition usually clears within 5-10 days

Management Category

• Management to resolution
• If recurrent, advise patients on anticoagulation to see general practitioner for INR, if on warfarin

Possible management by Ophthalmologist

• None