Q. I noticed a broken blood vessel in my left eye with some discomfort. What should I do?

Answered by
Dr. Bachar Khoury
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 11, 2020 and last reviewed on: Mar 19, 2020

Hello doctor,

I take Lisinopril for blood pressure, Symbicort for asthma, Metformin for PCOS, and Flonase for allergies. Today I was sitting and just talking and I got a pain in my left eye. I went to the restroom and looked in the mirror and I guess I had a broken blood vessel. What is worrying me is it is not that painful but I have discomfort to touch and it feels scratchy. Please suggest.

Dr. Bachar Khoury

Ophthalmology (Eye Care)


Welcome to icliniq.com.

This is called subconjunctival hemorrhage. It happens when a blood vessel bursts and gives some blood out, under the superficial layer of the eye called conjunctiva. It happens because of high pressure in the vessel like high blood pressure or coughing or constipation or holding heavy objects. The treatment usually is only by lubricant eye drops if it happens for the first time. But if it is recurrent every week or so, you should go for blood tests: PT (prothrombin time), PTT (partial thromboplastin time), INR (international normalized ratio) for blood coagulation tests.

Finally, since you are coughing, so there is an obvious cause for the bleeding. I recommend to treat it with installing any lubricant eyedrops a few times a day. The eye should go back to normal in about ten days to two weeks. If not or if it happens again go to your doctor for blood tests.

I hope this helps.

Probable diagnosis:

Subconjunctival hemorrhage.

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