Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population

Rajesh Subhash Joshi,1 Rahul Ramchandra Bandgar2 1Department of Ophthalmology, Government Medical College, Nagpur 440012, Maharashtra, India; 2Department of Ophthalmology, Shri Vasantrao Naik Government Medical College, Yavatmal 4510001, Maharashtra, IndiaCorrespondence: Rajesh Subhash JoshiGovernme...

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Autores principales:	Joshi RS, Bandgar RR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	subconjunctival hemorrhage red eye antiplatelet agents conjunctivochalasis hypertension Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8ea563daed82494cb81e306df958af24
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spelling	oai:doaj.org-article:8ea563daed82494cb81e306df958af242021-12-02T14:12:12ZIncidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population1177-5483https://doaj.org/article/8ea563daed82494cb81e306df958af242021-01-01T00:00:00Zhttps://www.dovepress.com/incidence-of-non-traumatic-subconjunctival-hemorrhage-in-an-indian-rur-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Rajesh Subhash Joshi,1 Rahul Ramchandra Bandgar2 1Department of Ophthalmology, Government Medical College, Nagpur 440012, Maharashtra, India; 2Department of Ophthalmology, Shri Vasantrao Naik Government Medical College, Yavatmal 4510001, Maharashtra, IndiaCorrespondence: Rajesh Subhash JoshiGovernment Medical College, Nagpur 440012, IndiaEmail jrajesh5@rediffmail.comPurpose: To determine the incidence of non-traumatic subconjunctival hemorrhage (NTSH) in Indian rural population and analyze the associated risk factors.Methods: The study included patients diagnosed having subconjunctival hemorrhage (SCH) who attended the out-patient department (OPD) of ophthalmology. Demographic characteristics of subjects included age, gender, medical and ocular history, and location of hemorrhage.Results: The incidence rate of NTSH in this study was 3.07 per 1000 patients per year attending OPD. The men to women ratio for NTSH was 1.26 (95% CI). The commonest site of presentation was nasal side (n=36, 51.4%). Right eye (n= 37, 54.3%) was affected more than the left eye (n=28, 40%). The analysis showed 24 patients (34.3%) did not have any etiological factor attributable to SCH. Conjunctivochalasis (CCH) was associated in 15 patients (21.4%). An antiplatelet agent was associated with SCH in 7 patients (10%). Other factors associated with SCH were hypertension, leukemia, and anemia (n=6, 8.6%).Conclusion: This study indicates that NTSH occurs in 3 out of 1000 individuals per year in the rural population presenting to the OPD. Nasal conjunctiva was commonly involved. CCH was associated with 15 patients. Use of antiplatelet agents, hypertension and blood disorders are associated with the risk of NTSH. Patients presenting for the first time with NTSH should be screened for systemic etiological factors.Keywords: subconjunctival hemorrhage, red eye, antiplatelet agents, conjunctivochalasis, hypertensionJoshi RSBandgar RRDove Medical Pressarticlesubconjunctival hemorrhagered eyeantiplatelet agentsconjunctivochalasishypertensionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 183-188 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	subconjunctival hemorrhage red eye antiplatelet agents conjunctivochalasis hypertension Ophthalmology RE1-994
spellingShingle	subconjunctival hemorrhage red eye antiplatelet agents conjunctivochalasis hypertension Ophthalmology RE1-994 Joshi RS Bandgar RR Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
description	Rajesh Subhash Joshi,1 Rahul Ramchandra Bandgar2 1Department of Ophthalmology, Government Medical College, Nagpur 440012, Maharashtra, India; 2Department of Ophthalmology, Shri Vasantrao Naik Government Medical College, Yavatmal 4510001, Maharashtra, IndiaCorrespondence: Rajesh Subhash JoshiGovernment Medical College, Nagpur 440012, IndiaEmail jrajesh5@rediffmail.comPurpose: To determine the incidence of non-traumatic subconjunctival hemorrhage (NTSH) in Indian rural population and analyze the associated risk factors.Methods: The study included patients diagnosed having subconjunctival hemorrhage (SCH) who attended the out-patient department (OPD) of ophthalmology. Demographic characteristics of subjects included age, gender, medical and ocular history, and location of hemorrhage.Results: The incidence rate of NTSH in this study was 3.07 per 1000 patients per year attending OPD. The men to women ratio for NTSH was 1.26 (95% CI). The commonest site of presentation was nasal side (n=36, 51.4%). Right eye (n= 37, 54.3%) was affected more than the left eye (n=28, 40%). The analysis showed 24 patients (34.3%) did not have any etiological factor attributable to SCH. Conjunctivochalasis (CCH) was associated in 15 patients (21.4%). An antiplatelet agent was associated with SCH in 7 patients (10%). Other factors associated with SCH were hypertension, leukemia, and anemia (n=6, 8.6%).Conclusion: This study indicates that NTSH occurs in 3 out of 1000 individuals per year in the rural population presenting to the OPD. Nasal conjunctiva was commonly involved. CCH was associated with 15 patients. Use of antiplatelet agents, hypertension and blood disorders are associated with the risk of NTSH. Patients presenting for the first time with NTSH should be screened for systemic etiological factors.Keywords: subconjunctival hemorrhage, red eye, antiplatelet agents, conjunctivochalasis, hypertension
format	article
author	Joshi RS Bandgar RR
author_facet	Joshi RS Bandgar RR
author_sort	Joshi RS
title	Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
title_short	Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
title_full	Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
title_fullStr	Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
title_full_unstemmed	Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population
title_sort	incidence of non-traumatic subconjunctival hemorrhage in an indian rural population
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/8ea563daed82494cb81e306df958af24
work_keys_str_mv	AT joshirs incidenceofnontraumaticsubconjunctivalhemorrhageinanindianruralpopulation AT bandgarrr incidenceofnontraumaticsubconjunctivalhemorrhageinanindianruralpopulation
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Incidence of Non-Traumatic Subconjunctival Hemorrhage in an Indian Rural Population

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