1. What is the prognosis in this case?

2. During the follow-up visit, what were the manifestations of kidney yin deficiency and blood stasis?

3. What details warrant attention with regard to the care for this case?

1. This was a chronic case of subconjunctival hemorrhage with frequent recurrence for a year combined with a 3-year history of diabetes. With correct differentiation and treatment, the hemorrhage in the sclera will dissipate and be controlled to avoid recurrence. Without intervention, the disease will progress, not only with the recurrence of hemorrhage, but also with the occurrence of diabetic retinal hemorrhage.

2. By the follow-up visit, the bloody macules below the surface of the right bulbar conjunctiva had become dark red, indicating blood stasis. The lower back and knee soreness and weakness, the red tongue with reduced coating, and the thin rapid pulse all indicated kidney yin deficiency.

3. The occurrence of this disease often relates to heat invading the lung channel, yin deficiency with fire abundance, and external injury damaging the eye collaterals. The patient should consume less spicy-hot food in order to avoid heat and fire accumulation inside of the body. She should also avoid staying up too late and overusing the eyes to prevent damaging the kidney yin, and avoid external injury to the eye and heavy lifting that may damage the eye collaterals.