A case of Subconjunctival haemorrhage

Dr Sneha Suryavanshi Porlekar  MD(Hom), Pune

Title-  Subconjunctival haemorrhage treated with homoeopathy- A case report.

Keywords– Sub-conjuctival haemorrhage  , pathological prescription

Introduction–

Subconjuctival Haemorrhage is common, since the vessels are loosely supported. Rupture of a conjuctival blood vessel causes a bright red, sharply delineated area surrounded by the normal appearing conjunctiva.

Aetiology–

1. Traumatic
2. Infective
3. Mechanical
4. Arteriosclerosis and hypertension
5. Blood dyscrasias: Leukaemia, purpura, haemophilia, etc.
6. Vicarious menstruation
7. Idiopathic

Fate of the hemorrhage– At first it is bright red in colour. This is due to the oxyhaemoglobin, as it is in constant contact with atmospheric oxygen.

Subsequently it changes its colour and lightens. Ultimately gets absorbed within 2 to 3 weeks if left untreated.

Case Report
A 50yr old female came to my clinic with a red spot in her right eye. She gave a history of rubbing the eye a day earlier. The red spot was observed by the family members next day morning.  Patient complained of watering of eyes.

Vitals: Temperature- Afebrile, P- 86/min regular , BP-150/80mm of Hg , RR- 18/min.

Systematic examination- RS- Clear AEBE, CVS-S1S2N , P/A- NA, CNS- Conscious and well oriented.

Past history–   K/C/O hypertension on regular treatment.

Family history -There was no family history of any major illness.

Date	Symptoms	Medicine
08.08.2020	H/O rubbing the eye (trauma) Red spot in the right eye, Watering of eyes.	Arnica montana 1M III doses 1 hourly Followed by SL TDS  x 3days
12.08.2020	Spot started blurring, watering continued.	Euphrasia officinalis 30  III doses 1hourly . Followed by SL TDS  x 3 days.
19.08.2020	Red spot was not visible since 2days. No other complaints so FU was delayed.

Case summary –  A  Case of  Subconjuctival haemorrhage in a 50yr old woman was treated with homoeopathy, which brought about complete absorption within 8 to 10days. The prescription was based on pathology.

References–

1. Samar K Basak , Essentials of Ophthalmology ,Current books International, 4^th edition.
2. William Boericke , New manual of Homoeopathic Material Medica and Repertory, B.Jain Publishers, 9^th edition.