Hyposphagma
| Classification according to ICD-10 | |
|---|---|
| H11.3 | Hemorrhage of the conjunctiva - hyposphagma, subconjunctival hemorrhage |
| ICD-10 online (WHO version 2019) | |
As Hyposphagma ( Greek. Ὑπόσφαγμα Hyposphagma u, bloodshot eye '. Al .; plural Hyposphagmata ) is augenheilkundlich a clear-cut sub bleeding of the conjunctiva of the eye called, also subconjunctival hemorrhage called. The hyposphagma appears as an "acute red eye", whereby the discoloration is limited to the space between the dermis and conjunctiva, without involving the adjacent cornea . The bleeding itself is generally painless and does not impair visual acuity .
Hyposphagmata can occur as a harmless consequence under everyday circumstances, but can also be the symptom of a serious illness. Possible causes are:
- violent sneezing or coughing, e.g. B. in pertussis
- Increased venous pressure due to physical exertion such as lifting, pressing, labor, vomiting or during a Valsalva attempt
- increased venous pressure in the context of a congestion syndrome in eg. Strangling, Forensic Medicine
- severe high blood pressure ( arterial hypertension ) and vascular diseases ( arteriosclerosis )
- increased tendency to bleed , e.g. B. with disturbance or drug inhibition of blood coagulation
- traumatic injuries to the eye or in the head area
- Eye operations, for example to correct ametropia (e.g. LASIK )
- Infectious acute conjunctivitis caused by viruses ( acute hemorrhagic conjunctivitis )
- Infectious diseases with hemorrhagic symptoms such as leptospirosis
Differential diagnosis the Hyposphagma is opposite a conjunctivitis and a hyphema delineate. If there are no accompanying injuries or foreign bodies, treatment of the subconjunctival hemorrhage is not necessary because the bruise is broken down and is reabsorbed after about 10-14 days .
literature
- Theodor Axenfeld (starter), H. Pau (Hrsg.): Textbook and atlas of ophthalmology . With the collaboration of R. Sachsenweger et al., Stuttgart: Gustav Fischer Verlag, 1980, ISBN 3-437-00255-4
Web links
Individual evidence
- ^ Liddell-Scott: Greek-English Lexicon. Clarendon Press, 9th edition. Oxford 1996, ISBN 0-19-864226-1 , entry under ὑπόσφαγμα or keyword u (po / sfagma .
