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Costa Mesa, CA
A 28-year-old female asked about a 45-year-old member:

Red spot in eye like popped bld. vssl.? area around and under eye tender and pain. is it just a popped blood vessel from high blood pressure?

3 doctor answers4 doctors weighed in
Dr. Ayisha Gani
Specializes in Internal Medicine
Subconjunctival hge: The subconjunctival bleed can happen in people with normal blood pressure also, usually painless. If you have pain or associated visual changes needs to be examined.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Milton Alvis, jr
Preventive Medicine 42 years experience
Yes, Hi in capillary: which leaked blood, very visible under conjunctiva vs. under skin or deeper within the body. Most BP drop occurs within end arterioles, body wide, e.g. from mean BP ~90 mmHg within aortic root down to ~25 mmHg within arteriole just prior to capillary, If arteriole dilates, allowing more pressure into capillary or capillary too fragile, then will bleed. Systemic BP can be Hi or Nl & still happen.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Milton Alvis, jr
Preventive Medicine 42 years experience
Provided original answer
Tenderness & pain strongly suggests something more has also happened. High blood pressure drives this, faster progression of cardiovascular disease (resulting in heart attacks, strokes, peripheral vascular problems), kidney failure, etc. Thus both study the issues yourself as your own primary decision maker (physician if you will) and seek out help worthy of your trust.
Feb 12, 2016
Dr. Sandra Lora Cremers
Ophthalmology 26 years experience
Yes: Subconjunctival hemorrhage is not uncommon in patients with high blood pressure. It is usually due to a ruptured small conjunctival blood vessel. It will usually resolve in 1-2 wks; avoid aspirin, ibuprofen, coumadin (warfarin) (unless needed), heavy lifting, straining, smoking. See MD for BP check.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 26, 2018

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