Etiology/risk factors:

• Transient increase in venous pressure: cough, valsalva, vomiting
• Traumatic eye injury: blunt ocular trauma, contact lense use
• Hypertension, diabetes, coagulopathies
• Fat embolism
• Antiplatelet and anticoagulation therapy
• Ocular surgery
• Tumours of the conjunctiva

Clinical Features:

• Painless, red focal lesion visible against the sclera
• Traumatic eye injury
  • Photophobia, eye pain, foreign body sensation
  • Bullous: elevated hemorrhage indicates underlying severe intraocular injury