Subconjunctival hemorrhage happens if the orbital roof is fractured.
A subconjunctivated hemorrhage can be differentiated an ordinary black eye due just to a direct trauma to the eye.
Signs of an ordinary black eye:
-the bruise appears immediatly after trauma to the eye
-develops in the upper lid first
-has a tringular shape with its posterior borders seen and its base towards the cornea
-the occular mobility is not impaired
-proptasis does not occur.
Signs of a subconjunctival hemorrhage (so a skull fracture occured):
-develops hours after trauma
-no skin bruises
-develops in the lowest lid first
-has a triangular shape without posterior limits and its apex is toward the cornea
-occular mobility may be impaired
-proptosis occurs.
In case of base fracture of the skull appears a continuous salty taste and the blood extravation under the galea and in the lids (panda bear effect).