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R. M. Torres, B. Yanez, R. Méndez-Fernández, C. Rodríguez, J. L. Trédicce, M. Yappert, M. Flores, P. Vieyra, J. Maldacena, Subconjunctival Hemorrhage Study Group; Subconjunctival Hemorrhage Multicentric Study. Invest. Ophthalmol. Vis. Sci. 2010;51(13):2383.
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to evaluate subconjunctival hemorrhage (SH) systemic factor association, clinical characteristics and its therapeutic management.
a prospective, observational, multicentric clinical study, was performed in 2 visits (0 and two weeks after) during 4 months (from june to september 2009), in 10 centers from Peru, Spain and Argentine. Demographic and lifestyle data (age, sex, work activity "indoor/outdoor"; weekly physical activity, body mass index "BMI"), general & ocular history, SH clinical manifestation & treatment were assessed.
195 cases (men: 52.8%; women: 47.2%) were studied. Mean age: 55 years old. Work activity: 57% indoor job (office), 14% outdoor job and 29 % mixed conditions. Exercise: nothing 64%; 3 times a week 28%, more than that 8%. BMI: <18.5(underweight): 1.5%; 18.5-24.9 (normal): 42.5%; 25-29.9 (overweight): 43.6%; >30 (obesity): 12.3%. General history: blood hypertension 41.3%; diabetes 10%; hyperlipidemic 9.4%. Psychical stress previous to the SH: 43.5%; physical stress previous to the SH: 12%.Patients were noticed about SH in the morning (68.2%), at night (12.8%) during the day (18%); when they've looked at the mirrow (48%) or because other person told him 40.8% and only 10.5% have got symptoms. Clinically, the more frecuent location was at nasal (25.6%) or temporal inferior areas (19.3%). At visit 2, ocular sign of SH still was present in 20% of cases.Management: no treatment was indicated in 44.6%; artificial tears: 33.8%; saline solution: 14.3%; anti-inflammatory topical drugs (steroidal plus non-steroidal): 5%; another 2.3%.
SH were more frequent in sedentary lifestyle group, with previous psychical stress situations. Patients noticed about it in the morning, without symptoms and most of the cases resolved in two weeks.
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