Subconjunctival hemorrhage - FU: What is the follow-up plan if it has not resolved?

Subconjunctival hemorrhage - FU: What is the follow-up plan if it has not resolved?

• A. 1 year.
• B. 2-4 weeks.
• C. 3-4 days.
• D. 2 months.

Answer: (B)

Subconjunctival hemorrhage is typically self-limiting, with the blood under the conjunctiva gradually being absorbed. Most resolve within about one to two weeks, and many are fully cleared within three weeks. If it has not resolved by the 2–4 week mark, a follow-up is warranted to reassess and rule out any underlying causes such as a bleeding tendency, systemic conditions, anticoagulant use, or ocular surface trauma that could predispose to persistent or recurrent bleeding. Why this interval fits: it gives enough time for natural healing while still allowing timely detection of other issues. The other options are not appropriate: waiting only 3 days is usually premature for spontaneous resolution, while waiting 1 year or 2 months unnecessarily delays evaluation and care.

Subconjunctival hemorrhage is typically self-limiting, with the blood under the conjunctiva gradually being absorbed. Most resolve within about one to two weeks, and many are fully cleared within three weeks. If it has not resolved by the 2–4 week mark, a follow-up is warranted to reassess and rule out any underlying causes such as a bleeding tendency, systemic conditions, anticoagulant use, or ocular surface trauma that could predispose to persistent or recurrent bleeding.

Why this interval fits: it gives enough time for natural healing while still allowing timely detection of other issues. The other options are not appropriate: waiting only 3 days is usually premature for spontaneous resolution, while waiting 1 year or 2 months unnecessarily delays evaluation and care.