Subconjunctival hemorrhage - Treatment: What is the recommended initial treatment?

• A. Antibiotic drops.
• B. Cool compress and PFATs.
• C. Oral steroids.
• D. Surgery.

Answer: (B)

Subconjunctival hemorrhage is a benign, self-limited rupture of small conjunctival vessels, so the aim is comfort and letting natural resorption occur. The best initial approach is supportive care: a cool compress to reduce bleeding and swelling in the early phase, plus lubricating eye drops that are preservative-free to keep the surface comfortable as the blood resolves. Antibiotic drops aren’t routinely needed unless there’s concern for infection, and oral steroids or surgery aren’t appropriate for this simple presentation. Most bleedings clear within one to two weeks with this supportive care, and seek care if bleeding persists, recurs, or if vision changes occur.