The symptomatology of hyposhagme is logical and quite understandable: the blood leaves the capillary vessel as a result of one reason or another (poor clotting, platelet abnormalities, disorders of the endothelium of the membrane, etc.), forms a blood clot, which manifests itself as a kind of scarlet spot. 
Most patients with hyposhagmus do not voice any clear complaints associated with visual impairment or severe discomfort and pain. In addition to external manifestations, other symptoms are extremely rare and can be characteristic only for the third degree of hyposhagmus, when the area of the lesion with a hematoma exceeds ¾ of the entire subconjunctival space. In a similar situation, the following signs of hyposhagmus join:
- slight discomfort that may bother you when you blink;
- poorly expressed feeling of a foreign object in the eye, in the absence of stabbing and cutting sensations;
- a red spot is outwardly visualized even from a great distance.
Since the conjunctival membrane does not have sensory light-receiving neurons, the appearance of hyposhagmus has no effect on the functioning of the visual analyzing system, therefore visual acuity (both central and peripheral) is not impaired.
The immediate moment of hemorrhage and the formation of the hyposhagmus usually passes imperceptibly. A person notices the first signs after he looks in the mirror. A red (bloody) speck of various sizes is found on the white part of the eye. Pain and visual impairment in the overwhelming majority of cases are absent.
Traumatic hyposhagmus of the eye
Trauma-induced subconjunctival hemorrhage is easily identified visually. The spot of the hyposhagmus can be small or quite extensive, occupying more than half or even the entire surface of the eyeball, and even extending beyond it.
A small hyposhagmus is harmless, does not cause visual impairment and dissolves without a trace in a short time. But it must be understood that extensive traumatic hemorrhage may indicate a subconjunctival rupture of the sclera, which indicates an open injury to the eye. For a medical professional, it is important to exclude a through rupture of the sclera in case of widespread hyposhagmus. This is taken into account when carrying out diagnostics, which necessarily include diaphanoscopy and revision of the sclera, as well as determining the symptom of Prypechek - pain in the projection of subconjunctival damage to the sclera in patients with massive hyposhagmus when probing with a glass rod. Symptom assessment is performed after pre-anesthesia of the eyeball.