{
  "schema_version": 1,
  "kind": "condition",
  "id": "subconjunctival-haemorrhage",
  "name": "Subconjunctival hemorrhage",
  "category": "chronic",
  "sources": "AAO Patient Advice Guidelines · No labelled dose - a lubricant appliance, not a licensed medicine; instilled as often as comfort needs",
  "review_status": "reviewed",
  "verified_against": "No labelled dose - a lubricant appliance, not a licensed medicine; instilled as often as comfort needs · Subconjunctival Hemorrhage - disease-level clinical article (subconjunctival-haemorrhage-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1737,
      "generic": "Sodium hyaluronate",
      "line": 1,
      "is_adjunct": false,
      "form": "eye",
      "strength_mg": null,
      "adult_dose": "Instill 0.1-0.2% lubricating eye drops 1 drop 4 times daily as needed for mild ocular irritation or dryness",
      "adult_duration": "1-2 weeks",
      "dose_source": "No labelled dose - a lubricant appliance, not a licensed medicine; instilled as often as comfort needs",
      "rationale": "Benign self-limiting condition; treatment is purely ocular lubrication and patient reassurance",
      "cautions": [
        "Reassure patient that hemorrhage resolves spontaneously over 1-3 weeks without visual sequelae.",
        "Check systemic blood pressure and ask about anticoagulant therapy or head/eye trauma.",
        "Refer to ophthalmology if accompanied by eye pain, vision changes, photophobia, or history of blunt ocular trauma.",
        "Sodium hyaluronate drops are sold as an appliance rather than a licensed medicine, so no regulator has set a dose for them. Use them as often as the eye needs and judge by comfort."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Child: 1 drop 3-4 times daily as needed for symptom comfort",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "HYALUGRAND 0.2% EYE DROPS 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DELTA GRAND PHARMA",
          "price_egp": 41.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HYALOPTIC 0.2% EYE DROPS 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 48.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HYFRESH 0.2% EYE DROPS 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JAMJOOM PHARMACEUTICALS",
          "price_egp": 75.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HYABAK 0.15% EYE DROPS 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "LABORATOIRES THEA > AMICO",
          "price_egp": 69.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "XILOIAL MONO EYE DROPS 20 RE-CLOSABLE VIALS * 0.5 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "FARMIGEA > HABIB SCIENTIFIC OFFICE",
          "price_egp": 265.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VISMED MULTI 0.18% EYE DROPS 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "TRB CHEMEDICA SA > RHEUMA",
          "price_egp": 335.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VISMED 0.3% EYE GEL 20 X 0.45 ML SDU",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "TRB CHEMEDICA SA > RHEUMA",
          "price_egp": 390.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VISMED MULTI 0.3% EYE GEL 10 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "TRB CHEMEDICA SA > RHEUMA",
          "price_egp": 390.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "subconjunctival-haemorrhage"
    },
    {
      "id": 1738,
      "generic": "Referral & safety-netting (no drug therapy)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": null,
      "adult_duration": null,
      "dose_source": "Subconjunctival Hemorrhage - disease-level clinical article (subconjunctival-haemorrhage-clinical.txt)",
      "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.",
      "cautions": [
        "RED FLAG - Pain, photophobia, impaired vision, discharge, or recurrent bilateral haemorrhage separate a more serious ocular or systemic problem from an uncomplicated subconjunctival haemorrhage. Systemic bruising, gum bleeding, or a personal or family history of coagulopathy may need laboratory evaluation and haematology referral.",
        "RED FLAG - Emergency ophthalmology referral is indicated when the haemorrhage follows trauma with suspected intraocular or retinal injury. Recurrence, bilateral involvement, systemic bruising, or anticoagulant therapy warrant further evaluation, and blood pressure measurement is essential in spontaneous or recurrent haemorrhage."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": null,
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "subconjunctival-haemorrhage"
    }
  ]
}