Prospective Observational Study of Subconjunctival Hemorrhage: Its Prevalence and Associated Factors In Bundelkhand Region

Objective To study prevalance, associated conditions, age, gender distribution and location of subconjunctival hemorrhage (SCH) in Bundelkhand region. Methodology This was prospective, observational and non-interventional study that was carried out in ophthalmology department MLB Medical College Jhansi. Total of 1000 patients who visited to OPD, emergency or referred from other departments with SCH were included study. Data was collected from patients which included, age, gender, history of trauma, medical history, and ocular history. For location of SCH conjunctiva was divided into 4 areas. Results Out of 1000 patients with SCH 354 (35.4 %) were women and 646 (64.6 %) were men, with a mean age of 29.56 years.697 (69.9 %) patients had traumatic and 303 (30.1 %) had spontaneous SCH. Of traumatic SCH group (67.15 %) were men and (32.85 %) were women. In patients with spontaneous SCH no apparent cause was seen in 140 (46.2 %) patients, and most common associated factor was hypertension which was present in 108 (35.6 %) patients. SCH was more common in the temporal areas than other areas (41.1 %). Conclusion The most of common cause of SCH which was seen in our study was traumatic subconjunctival hemorrhage. Traumatic SCH was seen more common in young age group while spontaneous SCH was more common in older age group. Most common associated condition in spontaneous SCH was hypertension while in majority of cases no apparent cause was seen.