- Break in small vessel w/in conjunctiva
 
        
            - Usually spontaneous and idiopathic
 
        
            - Sometimes related to coughing, sneezing, valsalva, trauma
 
        
            - Rarely related to bleeding d/o, severe htn, anti-coagulant meds, or other systemic conditions
 
        
      
     
   
           
        
        
        
        
        
          
          
        
        
        
          
          
            
  
      
    
    
      
        
            - Hemorrhage outside the iris