Bilateral hypophagma or Subconjunctival hemorrhage is a benign disorder that is a common cause of acute ocular redness. It usually does not result in pain, but can occasionally make the eye feel dry, rough, or scratchy. CLINICAL PRESENTATION : The ophthalmologic examination might show: Severely congested episcleral vessels in one both eyes, Reduction of visual acuity, Hyperemia of iris vessels, Pigment epithelium detachment, Impaired ocular movement, Abducens paresis in one or both eyes. CAUSE: Mostly the causes are considered to be idiopathic.However the following actions may cause the small blood vessels to rupture causing red eye. Violent coughing Powerful sneezing Straining of the eye Vomiting Severe hypertension Eye trauma Zygoma fracture Head injury LASIK Acute hemorrhagic conjunctivitis RISK FACTORS : Risk factors for a subconjunctival hemorrhage include: Diabetes High blood pressure (hypertension) Certain blood-thinning medications, such as warfarin Blood-clotting disorders. Image by: https://www.instagram.com/p/CMqOQXnBpzF/ ?igshid=c4hqilkrxq0m Credits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3702240/ https://en.wikipedia.org/wiki/Subconjunctival_bleeding
It's mostly occurs in people who take anticoagulants