The pathophysiology of this process occurs because the veins above the heart have no valves. A rapid rise in the abdominal pressure induces a rapid rise in the intravenous pressure, and various vessels inside or around the eye may rupture7 . Various straining activities such as heavy lifting, coughing, vomiting, blowing balloons and straining on a stool if constipated frequently lead to subconjunctival haemorrhages.
A total of 67,720 patients with a first-time diagnosis of NTSCH were identified during the 12 years period. The mean annual incidence was 65 per 10,000 individuals (crude incidence) and 60 per 10,000 individuals (age- and sex-standardized incidence). The incidence rate of NTSCH was higher in women than in men, [men-women ratio: 0.80 (95% confidence interval: 0.78-0.81)].